HEMI-TEMPORAL INTERNAL LIMITING MEMBRANE PEELING IS AS EFFECTIVE AND SAFE AS CONVENTIONAL FULL PEELING FOR MACULAR HOLE SURGERY
| Autor: | Hiroki Sasaki, Tatsuya Jujo, Jiro Kogo, Akira Shiono, Yasushi Kitaoka, Ryo Yomoda, Naoto Tokuda, Hitoshi Takagi |
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| Rok vydání: | 2019 |
| Předmět: |
Male
endocrine system medicine.medical_specialty genetic structures medicine.medical_treatment education Vitrectomy Endotamponade Ilm peeling Humans Medicine Original Study hemi-temporal ILM peeling Macular hole Aged Retrospective Studies business.industry Internal limiting membrane General Medicine Middle Aged Retinal Perforations medicine.disease eye diseases Surgery macular hole body regions Ophthalmology Treatment Outcome inner limiting membrane peeling macular displacement Female sense organs business Tomography Optical Coherence |
| Zdroj: | Retina (Philadelphia, Pa.) |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0000000000002215 |
| Popis: | Hemi-temporal internal limiting membrane peeling may be preferable to 360° internal limiting membrane peeling because of less displacement of the retinal vessels toward the nasal side and may have a potential advantage for hole closure without the potential for central papillomacular bundle damage. Purpose: To investigate the efficacy of hemi-temporal internal limiting membrane (ILM) peeling for idiopathic macular hole. Methods: The medical records of patients with macular holes who had undergone vitrectomy with ILM peeling were studied. Forty-two eyes with macular hole were divided into 2 groups based on surgical procedure (hemi-temporal ILM peeling [hemi group]: 15 eyes; 360° ILM peeling [360° group]: 27 eyes). The closure rates and distances between the optic disc and the intersection of two retinal vessels most closely located nasally or temporally to the macular hole were compared. Results: The primary closure rates were not significantly different between the two groups (hemi group: 93.3%; 360° group: 92.5%, P = 0.92). The temporal retinal vessels in the hemi group were displaced 120.5 ± 102.0 µm toward the optic disc at 1 week postoperatively, which did not differ significantly from the 360° group (136.1 ± 106.1 µm) (P = 0.107). However, the nasal retinal vessels in the hemi group were displaced by 42.4 ± 42.9 µm at 1 week postoperatively, which was significantly less than the 90.1 ± 77.3 µm displacement seen in the 360° group (P = 0.040). Conclusion: Hemi-temporal ILM peeling may be preferable to 360° ILM peeling because of less displacement of the retina and greater safety. |
| Databáze: | OpenAIRE |
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