HUMAN AMNIOTIC MEMBRANE TO CLOSE RECURRENT, HIGH MYOPIC MACULAR HOLES IN PATHOLOGIC MYOPIA WITH AXIAL LENGTH OF ≥30 mm
| Autor: | Stanislao Rizzo, Tomaso Caporossi, Lorenzo De Angelis, Francesco Barca, Bianca Pacini, Enrico Peiretti |
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| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine Pars plana medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Sulfur Hexafluoride Visual Acuity Vitrectomy Endotamponade 03 medical and health sciences 0302 clinical medicine Recurrence Ophthalmology human amniotic membrane Pathologic myopia medicine Humans recurrent high myopic macular hole Amnion Macular hole Aged Retrospective Studies Aged 80 and over business.industry pathologic myopia Settore MED/30 - MALATTIE APPARATO VISIVO Internal limiting membrane General Medicine Axial length Middle Aged Retinal Perforations medicine.disease eye diseases Axial Length Eye 030104 developmental biology medicine.anatomical_structure Myopia Degenerative 030221 ophthalmology & optometry Female sense organs medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Retina. 40:1946-1954 |
| ISSN: | 0275-004X |
| Popis: | Purpose To assess the effectiveness of the human amniotic membrane plug for recurrent high myopic macular hole (MH) that already underwent pars plana vitrectomy with internal limiting membrane peeling and gas endotamponade. Methods Sixteen eyes of 16 patients with recurrent high myopic MH were enrolled. A 23-gauge pars plana vitrectomy was performed. Human amniotic membrane plugs were implanted under the neuroretina inside the MH. Twenty percent sulfur hexafluoride or air was used as endotamponades. The patients were instructed to maintain facedown position for 5 days after surgery. Results Optical coherence tomography examinations showed that the MHs closed in 15 of the 16 patients (93.75%) 2 weeks after one surgical intervention, and in 100% of patients after second intervention. Mean best-corrected visual acuity improved from 1 logarithm of the minimum angle of resolution (20/200) to 0.67 logarithm of the minimum angle of resolution (20/100) 6 months after surgery. Best-corrected visual acuity remained stable during the 12-month follow-up. One patient had human amniotic membrane plug dislocation after gas absorption that needed a second intervention with new AM plug implantation. No adverse events were reported during the 12-month follow-up. Conclusion The first case series of recurrent high myopic MH was reported, assessing the effectiveness of the human amniotic membrane plug to close recurrent MHs in pathologic myopia. All the cases were successful with encouraging best-corrected visual acuity recovery. |
| Databáze: | OpenAIRE |
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