Phacovitrectomy vs. consecutive vitrectomy for idiopathic macular holes: short and long-term outcomes and OCT image quality assessment

Autor: Vishma Prabhu, Priyanka Gandhi, Rupal Kathare, Kanika Godani, Prathiba Hande, Naresh Kumar Yadav, Jay Chhablani, Ramesh Venkatesh
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal of Retina and Vitreous, Vol 10, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 2056-9920
DOI: 10.1186/s40942-024-00614-9
Popis: Abstract Purpose To compare short- and long-term anatomical, functional, and refractive outcomes between combined phacovitrectomy (PVS) and consecutive vitrectomy (CVS) for idiopathic macular holes (MHs). Also, to evaluate the role of preoperative optical coherence tomography (OCT) image quality in guiding surgical selection. Methods This retrospective study analyzed 183 phakic MH eyes operated between 2012 and 23, with patients divided into PVS and CVS groups. Demographic and ocular data, MH features, visual acuity (VA), refraction changes and postoperative outcomes, and follow-up details were collected. Pre- and post-operative OCT scans were evaluated for MH characteristics, OCT image quality, and surgical outcomes at short-term (≤ 3 months) and long-term (≥ 5 years) intervals. Results The study included 144 eyes in PVS group and 39 in CVS group. Median follow-up duration was 16 months for PVS group and 72 months for CVS group (p
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