دورية أكاديمية
Inverted Internal Limiting Membrane Flap Coverage With Autologous Blood Technique After Air-Fluid Exchange and Silicone Oil Tamponade for Extensive Macular Hole Retinal Detachment in Highly Myopic Eyes.
| العنوان: | Inverted Internal Limiting Membrane Flap Coverage With Autologous Blood Technique After Air-Fluid Exchange and Silicone Oil Tamponade for Extensive Macular Hole Retinal Detachment in Highly Myopic Eyes. |
|---|---|
| المؤلفون: | Tao J; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China ., Zhao S, She X, Lv Z, Zhang Y |
| المصدر: | Retina (Philadelphia, Pa.) [Retina] 2024 Jul 01; Vol. 44 (7), pp. 1268-1273. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8309919 Publication Model: Print Cited Medium: Internet ISSN: 1539-2864 (Electronic) Linking ISSN: 0275004X NLM ISO Abbreviation: Retina Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Philadelphia : Lippincott, [1981?- |
| مواضيع طبية MeSH: | Retinal Perforations*/surgery , Retinal Perforations*/diagnosis , Retinal Perforations*/etiology , Retinal Detachment*/surgery , Retinal Detachment*/etiology , Retinal Detachment*/diagnosis , Endotamponade*/methods , Surgical Flaps* , Vitrectomy*/methods , Visual Acuity* , Basement Membrane*/surgery , Silicone Oils*/administration & dosage , Tomography, Optical Coherence* , Myopia, Degenerative*/complications , Blood Transfusion, Autologous*/methods, Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Aged ; Follow-Up Studies |
| مستخلص: | Purpose: To report a technique consisting of inverted internal limiting membrane (ILM) flap coverage with autologous blood after air-fluid exchange and silicone oil tamponade in treating extensive retinal detachment secondary to a myopic macular hole (MH). Methods: This was a retrospective case series. 18 eyes with MHRD extending beyond the equator were included in this study with a minimum follow-up of 6 months. The procedures for pars plan vitrectomy (PPV) included the following: 1) The ILM was peeled to the superior and inferior arcade margins and, except for the ILM in the temporal region, was hinged toward the edge of the MH. 2) Air-fluid exchange was then performed to drain the subretinal fluid through the MH with a flute needle, ensuring that a small amount of subretinal fluid remained to facilitate ILM flap inversion. 3) The ILM flap was used to cover the MH with the assistance of autologous blood. Results: Six months after surgery, the MH was successfully anatomically closed, and retinal reattachment was observed in all 18 eyes of 18 patients. The mean best-corrected visual acuity logarithm of the minimum angle of resolution (logMAR) improved from 2.03 ± 0.61 (ranging from hand motion [2.6] to finger counting [2.3]) to 1.23 ± 0.63 (ranging from hand motion [2.6] to 20/28 [0.15]) ( P < 0.01) at 6 months. Conclusion: This surgical technique using an inverted ILM flap combined with autologous blood provides an option for the treatment of extensive MHRD. Competing Interests: None of the authors has any conflicts of interest to disclose. |
| References: | Wong TY, Ferreira A, Hughes R, et al. Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review. Am J Ophthalmol 2014;157:9–25.e12. Akiba J, Konno S, Yoshida A. Retinal detachment associated with a macular hole in severely myopic eyes. Am J Ophthalmol 1999;128:654–655. Lim LS, Tsai A, Wong D, et al. Prognostic factor analysis of vitrectomy for retinal detachment associated with myopic macular holes. Ophthalmology 2014;121:305–310. Mancino R, Ciuffoletti E, Martucci A, et al. Anatomical and functional results of macular hole retinal detachment surgery in patients with high myopia and posterior staphyloma treated with perfluoropropane gas or silicone oil. Retina 2013;33:586–592. Xie A, Lei J. Pars plana vitrectomy and silicone oil tamponade as a primary treatment for retinal detachment caused by macular holes in highly myopic eyes: a risk-factor analysis. Curr Eye Res 2013;38:108–113. Michalewska Z, Michalewski J, Adelman RA, Nawrocki J. Inverted internal limiting membrane flap technique for large macular holes. Ophthalmology 2010;117:2018–2025. Michalewska Z, Michalewski J, Dulczewska-Cichecka K, et al. Temporal inverted internal limiting membrane flap technique versus classic inverted internal limiting membrane flap technique: a comparative study. Retina 2015;35:1844–1850. Takahashi H, Inoue M, Koto T, et al. Inverted internal limiting membrane flap technique for treatment of macular hole retinal detachment in highly myopic eyes. Retina 2018;38:2317–2326. Lai CC, Chen YP, et al. Vitrectomy with internal limiting membrane repositioning and autologous blood for macular hole retinal detachment in highly myopic eyes. Ophthalmology 2015;122:1889–1898. Baba R, Wakabayashi Y, Umazume K, et al. Efficacy of the inverted internal limiting membrane flap technique with vitrectomy for retinal detachment associated with myopic macular holes. Retina 2017;37:466–471. Hu Z, Gu X, Qian H, et al. Perfluorocarbon liquid-assisted inverted limiting membrane flap technique combined with subretinal fluid drainage for macular hole retinal detachment in highly myopic eyes. Retina 2022;42:2008–2012. Park SW, Pak KY, Park KH, et al. Perfluoro-n-octane assisted free internal limiting membrane flap technique for recurrent macular hole. Retina 2015;35:2652–2656. Lyu J, Xia F, Zhao P. Intraoperative perfluorocarbon liquid tamponade technique for treatment of extensive retinal detachment secondary to a myopic macular hole. Retina 2023;43:698–704. Lai CC, Hwang YS, Liu L, et al. Blood-assisted internal limitingmembrane peeling for macular hole repair. Ophthalmology 2009;116:1525–1530. Korobelnik JF, Hannouche D, Belayachi N, et al. Autologous platelet concentrate as an adjunct in macular hole healing: a pilot study. Ophthalmology 1996;103:590–594. Ryan EA, Lee S, Chern S. Use of intravitreal autologous blood to identify posterior cortical vitreous in macular hole surgery. Arch Ophthalmol 1995;113:822–823. Jeon HS, Byon IS, Park SW, et al. Extramacular drainage of subretinal fluid during vitrectomy for macular hole retinal detachment in high myopia. Retina 2014;34:1096–1102. Kim DY, Jo YJ, Kim J-Y, et al. Surgical outcomes of vitrectomy for macular hole-induced retinal detachment according to various surgical methods: a multicenter retrospective study. Semin Ophthalmol 2021;36:728–733. Tabandeh H. Fluorescence imaging of the ILM flap following MH surgery. Am J Ophthalmol Case Rep 2021;24:101203. Tabandeh H, Morozov A, Rezaei KA, Boyer DS. Superior wide-base internal limiting membrane flap transposition for macular holes: flap status and outcomes. Ophthalmol Retina 2021;5:317–323. |
| معلومات مُعتمدة: | 2022KY908 Medical and Health Science and Technology Program of Zhejiang Province; Y2020367 Public Service Program of Wenzhou Science and Technology Bureau. |
| المشرفين على المادة: | 0 (Silicone Oils) |
| تواريخ الأحداث: | Date Created: 20240319 Date Completed: 20240620 Latest Revision: 20240620 |
| رمز التحديث: | 20240621 |
| DOI: | 10.1097/IAE.0000000000004068 |
| PMID: | 38502928 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1539-2864 |
|---|---|
| DOI: | 10.1097/IAE.0000000000004068 |