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Outcomes of epiretinal proliferation embedding technique in the surgery for full-thickness macular hole. | LitMetric

AI Article Synopsis

  • * Patients were divided into two groups (25 peeling, 31 embedding), and both groups showed improvement in visual acuity after surgery.
  • * The embedding technique led to faster recovery of outer foveal layers and better visual acuity at 1 month post-op compared to peeling, although the advantage diminished after 3 months.

Article Abstract

To compare visual and anatomical outcomes between peeling and embedding of epiretinal proliferation in patients with full-thickness macular holes (FTMH) with epiretinal proliferation (EP), this retrospective cohort study classified patients into two groups based on whether EP was completely peeled (peeling group, n = 25 eyes), or embedded into the hole (embedding group, n = 31 eyes) during surgery. Preoperative characteristics and postoperative outcomes, including best-corrected visual acuity and the length of the disrupted external limiting membrane and ellipsoid zone, were compared. Preoperative features including visual acuity and hole size did not differ between the two groups. All studied eyes achieved closure of the macular hole postoperatively. Visual acuity significantly improved at 3, 6, and 12 months postoperatively in both groups. The visual acuity 1-month after surgery was better in the embedding group than that in the peeling group (0.28 ± 0.29 vs. 0.50 ± 0.42 logarithm of the minimum angle of resolution, P = 0.016), although the difference was not noted after 3 months postoperatively. The embedding group showed shorter disruption of the external limiting membrane than the peeling group postoperatively (62.6 ± 40.2 μm vs. 326.2 ± 463.9 μm at postoperative 12 months, P = 0.045). In conclusion, the embedding technique during surgical repair of a FTMH with EP facilitates recovery of the outer foveal layers and promotes earlier restoration of visual function.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001908PMC
http://dx.doi.org/10.1038/s41598-024-58449-1DOI Listing

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