Purpose: To compare the efficacy of PPV and ILM peel versus PPV and IFT in patients with traumatic FTMH.
Methods: Retrospective interventional comparative case series including two groups of patients with traumatic FTMH. Patients were divided into group I (ILM peel) and group II (IFT). The main outcome measure was closure of the macular hole and restoration of the foveal microstructure. The independent-samples -test and ANOVA test were used to study the mean between 2 groups and calculate the value, whereas the bivariate correlation procedure studied the interaction between the variables tested.
Results: Group I included 28 patients. Mean preoperative MLD was 757 m. Mean preoperative BCVA was approximately 20/320. Group II included 12 patients. Mean preoperative MLD was 529.5 m. Mean preoperative BCVA was 20/320. Group I had a macular hole closure rate of 75% versus 92% in group II =0.05. Mean BCVA improvement was 2.5 lines in group I versus 5 lines in group II =0.02. Disrupted ELM and IS/OS was the most salient finding in both groups.
Conclusion: IFT has a significantly superior anatomic and functional outcome compared to ILM peel in traumatic FTMH.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501415 | PMC |
http://dx.doi.org/10.1155/2019/1959082 | DOI Listing |
Am J Ophthalmol
January 2025
Department of biomedical sciences, Humanitas University, Pieve Emanuele, Milan, Italy.; Ophthalmology Department, Humanitas Gavazzeni, Bergamo, Italy.
Purpose: To investigate the incidence, clinical spectrum and pathophysiology of microcystoid macular edema (MME) in two cohorts of patients with epiretinal membrane (ERM) and idiopathic full thickness macular hole (FTMH).
Design: Single-center, Retrospective, interventional, cohort study.
Methods: Review of clinical charts, structural and en-face optical coherence tomographty (OCT) and fluorescein angiography (FA) imaging of ERM and FTMH eyes which underwent surgery with pars plana vitrectomy and internal limiting membrane (ILM) peel, with a minimum follow-up of 6 months.
Indian J Ophthalmol
January 2025
Vitreoretinal Services, Shroff Eye Centre, New Delhi, India.
Purpose: The management of idiopathic macular holes (iMH) has evolved over time with various modifications in surgical approach. The study aimed to survey the surgeons' preferences in the management of iMH in current times.
Design: Cross-sectional descriptive survey.
J Biomech Eng
February 2025
Wilfrid Laurier University, 75 University Avenue West, Waterloo, ON N2L 3C5, Canada.
The interlamellar matrix (ILM), located between the annular layers of the intervertebral disc (IVD), is an adhesive component which acts to resist delamination. Investigating the mechanical properties of the ILM can provide us with valuable information regarding risk of disc injury; however given its viscoelastic nature, it may be necessary to conduct preconditioning on tissue samples before measuring these ILM properties. Therefore, the aim of this study was to optimize mechanical testing protocols of the ILM by examining the effect of preconditioning on stiffness and strength of this adhesive matrix.
View Article and Find Full Text PDFJ Fr Ophtalmol
December 2024
Department of Ophthalmology, Kasr El Aini Hospital, Cairo University, El-Manial, Cairo, Egypt.
Purpose: To evaluate the outcomes of pars plana vitrectomy (PPV) for full thickness macular holes (FTMH) in ocular Behçet's disease.
Methods: Eyes with FTMH as confirmed on optical coherence tomography in patients with active ocular Behçet's disease (AOBD) were included in this study. These eyes underwent PPV, epiretinal membrane (ERM) removal, internal limiting membrane (ILM) peel, and a tamponade injection.
Retina
August 2024
Manchester NHS University Foundation Trust. Oxford Rd, Manchester M13 9WL. United Kingdom.
Purpose: To report the role of perfluorocarbon liquid (PFCL) and passive extrusion for management of large full thickness macular holes (FTMHs).
Methods: A standard pars plana vitrectomy with induction of posterior vitreous detachment was performed for all patients. After internal limiting membrane (ILM) peel, a bubble of perfluorocarbon liquid (PFCL) was injected over the posterior pole and passive extrusion of fluid was performed with a backflush instrument below the PFCL bubble, without touching the FTMH edges, until the FTMH centre was reached.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!