Outcomes of chronic macular hole surgical repair
| Autor: | Shripaad Y Shukla, Armin R Afshar, Daniel F Kiernan, Seenu M Hariprasad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Bevacizumab
intravitreal neovascular age related macular degeneration systemic systematic review systematic review of reviews Hydrophillic nanogels ophthalmic drug delivery nanosponges solid lipid nanoparticles Adult strabismus personality psychosocial impact quality of life squint Maculopathy optic pit spectral domain optical coherence tomography Corneal hysteresis corneal resistance factor exfoliative glaucoma primary open angle glaucoma A-constant biometry individualized intraocular lenses personal Tecnis E-learning medical education methodology Chronic macular hole macular hole duration macular hole size macular hole surgery Ophthalmology RE1-994 |
| Zdroj: | Indian Journal of Ophthalmology, Vol 62, Iss 7, Pp 795-798 (2014) |
| Druh dokumentu: | article |
| ISSN: | 0301-4738 1998-3689 |
| DOI: | 10.4103/0301-4738.138302 |
| Popis: | Purpose: To report visual and anatomic outcomes of chronic macular hole surgery, with analysis of pre-operative OCT-based hole size and post-operative closure type. Settings and Design: An IRB-approved, retrospective case series of 26 eyes of 24 patients who underwent surgery for stage 3 or 4 idiopathic chronic macular holes at a tertiary care referral center. Statistical Analysis: Student′s t-test. Results: Nineteen of 26 eyes (73%) had visual improvement after surgery on most recent exam. Twenty-one of 26 eyes (81%) achieved anatomic closure; 16 of 26 eyes (62%) achieved type 1, and five of 26 eyes (19%) achieved type 2 closure. Post-operative LogMAR VA for type 1 closure holes (0.49) was significantly greater than for type 2 closure and open holes (1.26, P < 0.003 and 1.10, P < 0.005, respectively), despite similar pre-operative VA (P = 0.51 and 0.68, respectively). Mean pre-operative hole diameter for eyes with type 1 closure, type 2 closure, and holes that remained open were 554, 929, and 1205 microns, respectively. Mean pre-operative hole diameter was significantly larger in eyes that remained open as compared to eyes with type 1 closure (P = 0.015). Conclusion: Vitrectomy to repair chronic macular holes can improve vision and achieve long-term closure. Holes of greater than 3.4 years duration were associated with a greater incidence of remaining open and type 2 closure. Larger holes (mean diameter of 1205 microns) were more likely to remain open after repair. |
| Databáze: | Directory of Open Access Journals |
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