دورية أكاديمية
Surgery for idiopathic full-thickness macular holes within four months of symptom onset yields superior visual outcomes: Results from an Irish patient cohort.
العنوان: | Surgery for idiopathic full-thickness macular holes within four months of symptom onset yields superior visual outcomes: Results from an Irish patient cohort. |
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المؤلفون: | McCabe GA; Department of Ophthalmology, University Hospital Limerick, Limerick, Ireland. gracemccabe000@gmail.com., Zaidi SBH; Department of Ophthalmology, University Hospital Limerick, Limerick, Ireland., O'Riordan MM; Department of Ophthalmology, University Hospital Limerick, Limerick, Ireland., Kennelly KP; Department of Ophthalmology, University Hospital Limerick, Limerick, Ireland. |
المصدر: | Irish journal of medical science [Ir J Med Sci] 2024 Jun; Vol. 193 (3), pp. 1665-1670. Date of Electronic Publication: 2023 Dec 19. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Royal Academy of Medicine of Ireland Country of Publication: Ireland NLM ID: 7806864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-4362 (Electronic) Linking ISSN: 00211265 NLM ISO Abbreviation: Ir J Med Sci Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Dublin : Royal Academy of Medicine of Ireland |
مواضيع طبية MeSH: | Retinal Perforations*/surgery , Retinal Perforations*/physiopathology , Visual Acuity*, Humans ; Female ; Aged ; Male ; Middle Aged ; Retrospective Studies ; Aged, 80 and over ; Treatment Outcome ; Vitrectomy/methods ; Ireland ; Time Factors |
مستخلص: | Purpose: To describe the anatomical, visual, and safety results of full-thickness macular hole (FTMH) repair surgery and determine factors influencing outcomes. Patients and Methods: A retrospective chart review was performed on all patients who underwent primary FTMH repair surgery by a single surgeon over a 3-year period. For comparisons, Snellen visual acuity (VA) was converted to logMAR equivalent. Anatomical hole closure, visual improvement, and final VA of ≤ 0.30 logMAR were the primary outcome measures. Results: Twenty eyes of 19 patients were included. Mean patient age was 69 years (range 55 to 80 years) and 74% were female. Mean minimum linear diameter (MLD) was 440 μm (range 170 μm to 1200 μm). Mean duration of symptoms before surgery was 16 weeks (range 3 to 39 weeks). 100% of eyes achieved successful anatomical FTMH closure. Mean VA improved from 1.03 ± 0.43 logMAR (Snellen 6/60) preoperatively to 0.35 ± 0.22 logMAR (Snellen 6/15) postoperatively (p = 0.0001). Patients with worse preoperative VA gained more vision than those with better preoperative VA (p = 0.01). Eyes operated on within 4 months of symptom onset were more than twice as likely to achieve a postoperative VA of ≤ 0.30 logMAR (Snellen 6/12 or better) compared to eyes with a longer duration of symptoms (p = 0.03). Conclusion: FTMH repair surgery was safe and effective, with outcomes comparing favourably with published international studies. All patients benefited from surgery regardless of symptom duration, presenting VA or FTMH size. However, surgery performed within 4 months of symptom-onset was particularly beneficial, highlighting the need for prompt referral and surgery. (© 2023. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.) |
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فهرسة مساهمة: | Keywords: Full-thickness macular hole; Vitrectomy; Vitreomacular; Vitreoretinal |
تواريخ الأحداث: | Date Created: 20231220 Date Completed: 20240526 Latest Revision: 20240526 |
رمز التحديث: | 20240527 |
DOI: | 10.1007/s11845-023-03592-3 |
PMID: | 38114866 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1863-4362 |
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DOI: | 10.1007/s11845-023-03592-3 |