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Subtotal vitrectomy in idiopathic macular hole surgery

PURPOSE: To assess the outcomes of subtotal vitrectomy in idiopathic macular hole (IMH). METHODS: The patients with idiopathic IMH who had undergone vitreoretinal surgery and followed up for at least 12 months post-operatively were included. First the posterior hyaloid was detached, then cortical vi...

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Autores principales: Tarakcioglu, Hatice Nur, Tulu, Beril, Ozkaya, Abdullah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950970/
https://www.ncbi.nlm.nih.gov/pubmed/31920447
http://dx.doi.org/10.1016/j.sjopt.2019.11.001
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author Tarakcioglu, Hatice Nur
Tulu, Beril
Ozkaya, Abdullah
author_facet Tarakcioglu, Hatice Nur
Tulu, Beril
Ozkaya, Abdullah
author_sort Tarakcioglu, Hatice Nur
collection PubMed
description PURPOSE: To assess the outcomes of subtotal vitrectomy in idiopathic macular hole (IMH). METHODS: The patients with idiopathic IMH who had undergone vitreoretinal surgery and followed up for at least 12 months post-operatively were included. First the posterior hyaloid was detached, then cortical vitreous was removed incompletely by leaving anterior vitreous intact. Internal limiting membrane was peeled with the aid of brilliant blue. A non-expanding volume of perfluoropropane was used as a tamponade and face-down positioning for 5 days was suggested to the patients. The main outcome measure was the closure rate of IMH. RESULTS: Forty-three eyes were included. The mean follow-up time was 15.0 ± 3.8 months after surgery. Single surgery anatomical success was 86.0%. The mean BCVA at baseline, month 1, 3, 6, 12 and at the last follow-up was 0.99 ± 0.33 LogMAR (0,5–1.80), 1.04 ± 0.33 LogMAR (0.5–1.8), 0.94 ± 0.46 LogMAR (0.3–3.0), 0.84 ± 0.33 LogMAR (0.3–1.5), 0.82 ± 0.35 (0.2–1.5), and 0.70 ± 0.34 (0.1–1.5) (p > 0.05, for all). The mean visual acuity increased by 2.9 lines at the last follow-up visit and 51.2% of the patients gained ≥ 3 lines of vision. CONCLUSION: The results of this study indicated limited core vitrectomy as a safe and effective surgical technique in the treatment of IMH, resulting in acceptable functional and anatomical outcomes without significant intra- and post-operative complications.
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spelling pubmed-69509702020-01-09 Subtotal vitrectomy in idiopathic macular hole surgery Tarakcioglu, Hatice Nur Tulu, Beril Ozkaya, Abdullah Saudi J Ophthalmol Original Article PURPOSE: To assess the outcomes of subtotal vitrectomy in idiopathic macular hole (IMH). METHODS: The patients with idiopathic IMH who had undergone vitreoretinal surgery and followed up for at least 12 months post-operatively were included. First the posterior hyaloid was detached, then cortical vitreous was removed incompletely by leaving anterior vitreous intact. Internal limiting membrane was peeled with the aid of brilliant blue. A non-expanding volume of perfluoropropane was used as a tamponade and face-down positioning for 5 days was suggested to the patients. The main outcome measure was the closure rate of IMH. RESULTS: Forty-three eyes were included. The mean follow-up time was 15.0 ± 3.8 months after surgery. Single surgery anatomical success was 86.0%. The mean BCVA at baseline, month 1, 3, 6, 12 and at the last follow-up was 0.99 ± 0.33 LogMAR (0,5–1.80), 1.04 ± 0.33 LogMAR (0.5–1.8), 0.94 ± 0.46 LogMAR (0.3–3.0), 0.84 ± 0.33 LogMAR (0.3–1.5), 0.82 ± 0.35 (0.2–1.5), and 0.70 ± 0.34 (0.1–1.5) (p > 0.05, for all). The mean visual acuity increased by 2.9 lines at the last follow-up visit and 51.2% of the patients gained ≥ 3 lines of vision. CONCLUSION: The results of this study indicated limited core vitrectomy as a safe and effective surgical technique in the treatment of IMH, resulting in acceptable functional and anatomical outcomes without significant intra- and post-operative complications. Elsevier 2019 2019-11-22 /pmc/articles/PMC6950970/ /pubmed/31920447 http://dx.doi.org/10.1016/j.sjopt.2019.11.001 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Tarakcioglu, Hatice Nur
Tulu, Beril
Ozkaya, Abdullah
Subtotal vitrectomy in idiopathic macular hole surgery
title Subtotal vitrectomy in idiopathic macular hole surgery
title_full Subtotal vitrectomy in idiopathic macular hole surgery
title_fullStr Subtotal vitrectomy in idiopathic macular hole surgery
title_full_unstemmed Subtotal vitrectomy in idiopathic macular hole surgery
title_short Subtotal vitrectomy in idiopathic macular hole surgery
title_sort subtotal vitrectomy in idiopathic macular hole surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950970/
https://www.ncbi.nlm.nih.gov/pubmed/31920447
http://dx.doi.org/10.1016/j.sjopt.2019.11.001
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