39 results match your criteria: "Shinjo Ophthalmologic Institute[Affiliation]"

Purpose: To examine the anatomic and visual outcomes after removal of foveal hard exudates through a macular hole created by subretinal balanced salt solution (BSS) injection.

Methods: This was a retrospective, consecutive, case series. Six patients (7 eyes) underwent vitrectomy with removal of foveal hard exudates.

View Article and Find Full Text PDF

To determine the long-term outcomes of vitrectomy for the macular edema associated with a retinal vein occlusion (RVO). This was a retrospective, consecutive, interventional case series. The intraoperative procedures included internal limiting membrane peeling, arteriovenous sheathotomy, radial optic neurotomy, and intravitreal triamcinolone acetonide injection at the end of the surgery.

View Article and Find Full Text PDF

Purpose: The purpose of this study was to determine the long-term outcomes of intravitreal bevacizumab (IVB) or intravitreal tissue plasminogen activator (tPA) or vitrectomy for macular edema associated with a branch retinal vein occlusion (BRVO).

Methods: This was a retrospective, interventional case series. Forty-one patients received a single 1.

View Article and Find Full Text PDF

Purpose: To determine the effects of vitreomacular separation on macular thickness.

Methods: This was a retrospective, observational, cross-sectional study. Average foveal and central minimum thicknesses were measured by spectral-domain optical coherence tomography (SD-OCT) in 308 eyes of 308 healthy subjects (healthy group) and 298 normal fellow eyes of 298 patients with a unilateral macular hole (MH group).

View Article and Find Full Text PDF

Objective: To investigate the effects of vitreomacular adhesion (VMA), vitreomacular separation (VMS) and absence of vitreous gel due to vitrectomy on macular thickness measured in the spectral domain optical coherence tomographic (SD-OCT) images.

Design: A longitudinal, retrospective, observational study.

Setting: Secondary multicentre study.

View Article and Find Full Text PDF

Purpose: To determine the long-term changes in the regional macular thickness after idiopathic epiretinal membrane (ERM) excision and to determine whether there were correlations between the pre- and postoperative central macular thickness and the best-corrected visual acuity (BCVA).

Methods: This was a prospective, interventional case series study of 53 eyes of 53 patients that underwent ERM removal with internal limiting membrane (ILM) peeling. Examinations were performed before, 1, 2, 3, 6, 9, 12, 24, 36, 48, and 60 months after the surgery.

View Article and Find Full Text PDF

EFFECT OF INTERNAL LIMITING MEMBRANE PEELING ON LONG-TERM VISUAL OUTCOMES FOR DIABETIC MACULAR EDEMA.

Retina

July 2015

*Shinjo Ophthalmologic Institute, Miyazaki, Japan; †Department of Ophthalmology, Faculty of Medicine, Saitama Medical University, Iruma, Japan; and ‡Miyazaki Prefectural Nursing University, Miyazaki, Japan.

Purpose: To evaluate the effect of internal limiting membrane (ILM) peeling on the long-term visual outcomes in eyes with diffuse, nontractional diabetic macular edema.

Methods: One hundred and sixteen eyes of 58 patients with the same degree of diabetic macular edema in both eyes underwent pars plana vitrectomy with the creation of a posterior vitreous detachment in both eyes. Internal limiting membrane peeling was performed in one randomly selected eye (ILM-off group), and ILM peeling was not performed (ILM-on group) in the fellow eye.

View Article and Find Full Text PDF

Purpose: To determine the changes of regional macular thickness after successful macular hole surgery (MHS) with internal limiting membrane (ILM) peeling during a 24-month follow-up period.

Methods: In a prospective, interventional case study, the authors evaluated 24 eyes of 24 patients who underwent 23-gauge transconjunctival pars plana vitrectomy with triamcinolone-assisted ILM peeling to treat idiopathic macular hole. Examinations were performed before and 1, 2, 3, 6, 9, 12, and 24 months after surgery.

View Article and Find Full Text PDF

Purpose: To compare the morphologic parameters of ophthalmoscopically and tomographically normal foveae of the fellow eyes of patients with a unilateral macular hole (MH), other unilateral retinal diseases, and healthy eyes.

Design: Observational, cross-sectional study.

Methods: Of the 849 subjects studied, 183 eyes were excluded because they had an abnormal vitreofoveal interface that might have affected the foveal thickness.

View Article and Find Full Text PDF

Purpose: To determine the retinal thickness (RT), after vitrectomy with internal limiting membrane (ILM) peeling, for an idiopathic macular hole (MH) or an epiretinal membrane (ERM). Also, to investigate the effect of a dissociated optic nerve fiber layer (DONFL) appearance on RT.

Methods: A non-randomized, retrospective chart review was performed for 159 patients who had successful closure of a MH, with (n = 148), or without (n = 11), ILM peeling.

View Article and Find Full Text PDF

Purpose: To evaluate the effectiveness of intravitreous bevacizumab (Avastin), intravitreous tissue plasminogen activator, and vitrectomy for the macular edema secondary to branch retinal vein occlusion.

Methods: Retrospective, interventional case series. We studied 228 eyes of 228 patients.

View Article and Find Full Text PDF

Purpose: To compare the vitreoretinal interface of the asymptomatic fellow eyes of patients with unilateral macular holes (MHs) with that of the asymptomatic fellow eyes of patients with other retinal diseases and with that of healthy eyes.

Design: Retrospective, observational cross-sectional study.

Participants: This study included 137 healthy volunteers and 929 eyes of 929 patients with various unilateral retinal diseases.

View Article and Find Full Text PDF

Purpose: To determine whether the time course of average visual recovery (visual gain curve) after vitrectomy for different macular diseases can be described by a mathematical function.

Methods: The medical records of 1951 eyes that underwent vitrectomy for different macular diseases such as macular hole, epiretinal membrane, and macular edema were reviewed. All surgeries were performed by one surgeon (NO), and simultaneous phacoemulsification with intraocular lens implantation was performed on all phakic patients who were >40 years of age.

View Article and Find Full Text PDF

Purpose: To evaluate the effect of pars plana vitrectomy (PPV) either with or without internal limiting membrane (ILM) peeling for macular edema associated with macular vein occlusion (MVO).

Methods: In this retrospective, interventional, comparative case series study, 41 patients (41 eyes) underwent PPV either with or without ILM peeling for macular edema due to MVO. Twenty-eight eyes without ILM peeling (PPV alone) were compared with 13 eyes with ILM peeling (ILM-off).

View Article and Find Full Text PDF

Purpose: The purpose of this study was to determine the factors that are correlated with the visual outcomes in patients who underwent pars plana vitrectomy with internal limiting membrane peeling for myopic foveoschisis (MF).

Methods: In this retrospective, interventional consecutive case series, 39 eyes of 39 consecutive patients who had undergone pars plana vitrectomy with internal limiting membrane peeling for MF were studied. Preoperative optical coherence tomography showed that none of the eyes had a macular hole or vitreoretinal traction.

View Article and Find Full Text PDF

Purpose: To determine the incidence and the factors that can cause a reopening of a macular hole (MH) after a surgical closure.

Design: Retrospective, comparative, consecutive case series.

Methods: The medical charts of all patients who underwent vitrectomy with or without internal limiting membrane (ILM) peeling for an idiopathic full-thickness MH were reviewed.

View Article and Find Full Text PDF

Purpose: To report the long-term results of pars plana vitrectomy for diffuse nontractional diabetic macular edema.

Design: Interventional, retrospective, consecutive case series.

Methods: Clinical records of 332 consecutive patients (496 eyes) with diabetic macular edema without a thickened and taut posterior hyaloid on contact lens examination were reviewed.

View Article and Find Full Text PDF

Purpose: To characterize outcomes for patients who develop full-thickness macular holes after pars plana vitrectomy.

Methods: We retrospectively analyzed data for 47 consecutive patients (47 eyes) who developed full-thickness macular holes after initial pars plana vitrectomy for a variety of indications. All patients underwent a second vitrectomy and gas tamponade with or without internal limiting membrane peeling.

View Article and Find Full Text PDF

Purpose: To report long-term anatomical and functional results after pars plana vitrectomy with internal limiting membrane (ILM) peeling using triamcinolone acetonide (TA) for idiopathic macular holes.

Design: Prospective, consecutive, interventional case series.

Methods: Ninety-six eyes of 94 patients who underwent macular hole surgery with TA-assisted ILM peeling were included in the study.

View Article and Find Full Text PDF

Cytomegalovirus retinitis after intravitreous triamcinolone treatment of a vitrectomized eye in an immunocompetent patient.

Retin Cases Brief Rep

November 2014

From the *Department of Ophthalmology, Kamiiida First General Hospital, Nagoya, Japan; †Shinjo Ophthalmologic Institute, Miyazaki, Japan; the ‡Department of Ophthalmology, Saga University, Saga, Japan; the §Department of Ophthalmology, Kagoshima City Hospital, Kagoshima, Japan; and the ¶Department of English, Miyazaki Prefectural Nursing University, Miyazaki, Japan.

Purpose: To report a case of cytomegalovirus (CMV) retinitis after intravitreous injection of triamcinolone for a vitrectomized eye in an immunocompetent patient.

Design: Observational case report.

Methods: Review of medical records.

View Article and Find Full Text PDF

Purpose: To determine the long-term visual outcomes after vitreous surgery for macular edema with foveal hemorrhage associated with branch retinal vein occlusion (BRVO).

Methods: One hundred twenty eyes of 120 patients underwent pars plana vitrectomy with or without internal limiting membrane (ILM) peeling for macular edema with foveal hemorrhage due to BRVO with a minimum 12 months of follow-up. Simultaneous cataract extraction with intraocular lens implantation was performed on 117 phakic eyes.

View Article and Find Full Text PDF

Purpose: To evaluate the long-term effect of vitrectomy with or without arteriovenous sheathotomy for macular edema secondary to branch retinal vein occlusion (BRVO).

Methods: The study was a prospective, randomized, comparative, interventional case series of 36 patients (36 eyes) who underwent pars plana vitrectomy with or without arteriovenous sheathotomy for macular edema due to BRVO of View Article and Find Full Text PDF

Purpose: To compare the long-term anatomic closure rate and visual outcome in patients who underwent internal limiting membrane (ILM) peeling with and without indocyanine green (ICG) dye staining for idiopathic macular hole repair.

Design: Retrospective, nonrandomized, comparative study of consecutive case series.

Methods: A total of 190 eyes of 182 patients with idiopathic macular holes underwent macular hole repair between March 1998 and June 2003.

View Article and Find Full Text PDF

Purpose: To compare surgical results for idiopathic macular holes with and without internal limiting membrane (ILM) peeling in a series of consecutive patients during an 8-year period.

Methods: A retrospective, nonrandomized, comparative trial. Four hundred seventeen eyes with macular holes without ILM peeling were compared with 175 eyes with ILM peeling.

View Article and Find Full Text PDF