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A Review of Surgical Outcomes and Advances for Macular Holes
The surgical outcomes of macular holes (MHs) have improved greatly in recent years. The closure rate is as high as 90–100%, but the outcomes of some special types of MHs remain unsatisfactory. Internal limiting membrane (ILM) peeling dramatically improves the anatomic success rate, but recent studie...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932482/ https://www.ncbi.nlm.nih.gov/pubmed/29850211 http://dx.doi.org/10.1155/2018/7389412 |
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author | Zhao, Peng-peng Wang, Shuang Liu, Nan Shu, Zhi-min Zhao, Jin-song |
author_facet | Zhao, Peng-peng Wang, Shuang Liu, Nan Shu, Zhi-min Zhao, Jin-song |
author_sort | Zhao, Peng-peng |
collection | PubMed |
description | The surgical outcomes of macular holes (MHs) have improved greatly in recent years. The closure rate is as high as 90–100%, but the outcomes of some special types of MHs remain unsatisfactory. Internal limiting membrane (ILM) peeling dramatically improves the anatomic success rate, but recent studies have found that it could also cause mechanical and subclinical traumatic changes to the retina. Dyes are widely used, and apart from indocyanine green (ICG), the toxicities of other dyes require further research. Face-down posturing is necessary for MHs larger than 400 μm, and the duration of this posture is determined by the type of tamponade and the case. The ellipsoid zone has been shown to be highly correlated with visual outcome and recovery. New surgical methods include the inverted ILM flap technique and the ILM abrasion technique. However, they require further research to determine their effectiveness. |
format | Online Article Text |
id | pubmed-5932482 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-59324822018-05-30 A Review of Surgical Outcomes and Advances for Macular Holes Zhao, Peng-peng Wang, Shuang Liu, Nan Shu, Zhi-min Zhao, Jin-song J Ophthalmol Review Article The surgical outcomes of macular holes (MHs) have improved greatly in recent years. The closure rate is as high as 90–100%, but the outcomes of some special types of MHs remain unsatisfactory. Internal limiting membrane (ILM) peeling dramatically improves the anatomic success rate, but recent studies have found that it could also cause mechanical and subclinical traumatic changes to the retina. Dyes are widely used, and apart from indocyanine green (ICG), the toxicities of other dyes require further research. Face-down posturing is necessary for MHs larger than 400 μm, and the duration of this posture is determined by the type of tamponade and the case. The ellipsoid zone has been shown to be highly correlated with visual outcome and recovery. New surgical methods include the inverted ILM flap technique and the ILM abrasion technique. However, they require further research to determine their effectiveness. Hindawi 2018-04-18 /pmc/articles/PMC5932482/ /pubmed/29850211 http://dx.doi.org/10.1155/2018/7389412 Text en Copyright © 2018 Peng-peng Zhao et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Zhao, Peng-peng Wang, Shuang Liu, Nan Shu, Zhi-min Zhao, Jin-song A Review of Surgical Outcomes and Advances for Macular Holes |
title | A Review of Surgical Outcomes and Advances for Macular Holes |
title_full | A Review of Surgical Outcomes and Advances for Macular Holes |
title_fullStr | A Review of Surgical Outcomes and Advances for Macular Holes |
title_full_unstemmed | A Review of Surgical Outcomes and Advances for Macular Holes |
title_short | A Review of Surgical Outcomes and Advances for Macular Holes |
title_sort | review of surgical outcomes and advances for macular holes |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932482/ https://www.ncbi.nlm.nih.gov/pubmed/29850211 http://dx.doi.org/10.1155/2018/7389412 |
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