THE TEXAS TACO TECHNIQUE FOR INTERNAL LIMITING MEMBRANE FLAP IN LARGE FULL-THICKNESS MACULAR HOLES: A Short-Term Pilot Study
| Autor: | David M. Brown, Tien P. Wong, William C. Ou, Shaun I.R. Lampen, Charles C. Wykoff, James C. Major, Ankoor S. Shah |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Visual acuity genetic structures Visual Acuity Pilot Projects Snellen acuity Basement Membrane Surgical Flaps 03 medical and health sciences Young Adult 0302 clinical medicine Vitrectomy Medicine Humans Macula Lutea Postoperative Period Aged Retrospective Studies Aged 80 and over business.industry Internal limiting membrane Mean age General Medicine Middle Aged Retinal Perforations Ophthalmology Treatment Outcome 030221 ophthalmology & optometry Full thickness Female medicine.symptom business Nuclear medicine 030217 neurology & neurosurgery Tomography Optical Coherence Follow-Up Studies |
| Zdroj: | Retina (Philadelphia, Pa.). 40(3) |
| ISSN: | 1539-2864 |
| Popis: | PURPOSE To determine the efficacy of a novel application of a surgical internal limiting membrane flap technique that requires no additional surgical adjuvants in closure of large full-thickness macular holes (FTMHs). METHODS The electronic medical records of patients (n = 8) with large (>400 µm) FTMHs repaired with the "Texas Taco" technique were retrospectively reviewed. RESULTS Operated patients had a mean age of 63.8 ± 19.2 (range, 19-80) years. There were five (62.5%) phakic and three (37.5%) pseudophakic eyes preoperatively. Mean follow-up time was 9.1 ± 4.7 (1.5-14.5) months. Across all patients, mean FTMH diameter at the shortest and greatest widths were 529 ± 101 (404-661) and 1,189 ± 290 (829-1,656) µm, respectively. Mean best-corrected logarithm of the minimum angle of resolution visual acuity was 1.3 ± 0.23 preoperatively (approximately Snellen acuity 20/400) and 0.66 ± 0.40 postoperatively (approximately Snellen acuity 20/100) (P < 0.001). All FTMHs remained closed at all postoperative visits. CONCLUSION The Texas Taco technique provided anatomical and functional improvement in challenging cases of large FTMHs without the need of additional surgical adjuvants. |
| Databáze: | OpenAIRE |
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