Macular hole surgery and cataract extraction: combined vs consecutive surgery
| Autor: | Jean Paul Berrod, Xavier Burelle, A. Muselier, Bénigne Mathieu, Brice Dugas, M. Passemard, Isabelle Hubert, Catherine Creuzot-Garcher, Alain M. Bron |
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| Přispěvatelé: | Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy) |
| Rok vydání: | 2010 |
| Předmět: |
Pars plana
Male medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Eye disease [SDV]Life Sciences [q-bio] Sulfur Hexafluoride Visual Acuity Vitrectomy Cataract 03 medical and health sciences 0302 clinical medicine Lens Implantation Intraocular Ophthalmology medicine Humans Macular hole ComputingMilieux_MISCELLANEOUS Aged Retrospective Studies Aged 80 and over Fluorocarbons Phacoemulsification business.industry Middle Aged medicine.disease Retinal Perforations eye diseases 3. Good health Surgery medicine.anatomical_structure Cryotherapy 030221 ophthalmology & optometry Maculopathy Female sense organs Tamponade medicine.symptom business 030217 neurology & neurosurgery Tomography Optical Coherence Follow-Up Studies |
| Zdroj: | American Journal of Ophthalmology American Journal of Ophthalmology, Elsevier Masson, 2010, 150 (3), pp.387-391. ⟨10.1016/j.ajo.2010.04.008⟩ |
| ISSN: | 1879-1891 0002-9394 |
| DOI: | 10.1016/j.ajo.2010.04.008⟩ |
| Popis: | To compare the functional and the anatomic outcomes of a combined surgery and consecutive surgery for macular hole and cataract extraction.Multicenter, retrospective, comparative case series.One hundred twenty patients (120 eyes) with an idiopathic macular hole and cataract were operated on in 1 or 2 sessions in 2 academic centers, Dijon University Hospital and Nancy University Hospital. Combined surgery (n = 64) and consecutive surgery (n = 56) were performed between 2006 and 2007. All patients underwent pars plana vitrectomy with internal limiting membrane peeling and gas tamponade. Cataract extraction was performed with phacoemulsification followed by a posterior chamber intraocular lens implantation. The main outcome measures were near and far visual acuity at 6 and 12 months, and the rate of closure of macular hole evaluated with optical coherence tomography.After a 12-month follow-up, the postoperative best-corrected visual acuities significantly improved in both the combined and the consecutive surgery groups (near and far vision in both groups, P.0001). However the improvement of far visual acuity was not significant in the consecutive surgery group at 6 months (P = .06) while such an improvement was observed in the combined surgery group (P.0001). The rates of closure, 100% and 96% in the combined and the consecutive groups respectively, and the complications did not differ significantly between groups.Both combined and consecutive surgeries are safe and effective methods to treat macular hole and cataract with equivalent functional and anatomic results in both procedures. However, combined surgery shortened the delay for visual recovery. |
| Databáze: | OpenAIRE |
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