دورية أكاديمية
أعرض في EDS

MANAGEMENT OF LARGE FULL-THICKNESS MACULAR HOLES: Long-Term Outcomes of Internal Limiting Membrane Flaps and Internal Limiting Membrane Peels.

التفاصيل البيبلوغرافية
العنوان: MANAGEMENT OF LARGE FULL-THICKNESS MACULAR HOLES: Long-Term Outcomes of Internal Limiting Membrane Flaps and Internal Limiting Membrane Peels.
المؤلفون: Richards K; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Kadakia A; McGovern School of Medicine, Department of Ophthalmology, Houston, Texas., Wykoff CC; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Major JC Jr; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Wong TP; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Chen E; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Schefler AC; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Patel SB; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Kim RY; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Henry CR; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Fish RH; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Brown DM; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Benz MS; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Pearce W; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and., Shah AR; Retina Consultants of Texas, Department of Ophthalmology, Houston, Texas, and Retina Consultants of America, Department of Ophthalmology, Southlake, Texas; and.
المصدر: Retina (Philadelphia, Pa.) [Retina] 2024 Jul 01; Vol. 44 (7), pp. 1165-1170.
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*/physiopathology , Surgical Flaps* , Basement Membrane*/surgery , Visual Acuity*/physiology , Vitrectomy*/methods , Tomography, Optical Coherence*, Humans ; Female ; Male ; Retrospective Studies ; Aged ; Follow-Up Studies ; Middle Aged ; Treatment Outcome ; Endotamponade/methods ; Time Factors ; Epiretinal Membrane/surgery
مستخلص: Background/purpose: To determine and compare the efficacy of a surgical internal limiting membrane (ILM) flap technique with the traditional ILM peel on long-term visual and anatomical outcomes for large (>400 µm) full-thickness macular holes.
Methods: From October 2016 to July 2022, patients undergoing initial full-thickness macular hole repair with the ILM flap or ILM peel technique were reviewed. Final outcomes were recorded and based on size in microns: 401 to 800, 801 to 1,200, and >1,200.
Results: Patients treated with ILM flap (n = 52, 94.2% closure rate) or ILM peel (n = 407, 93.6% closure rate) were followed with a mean follow-up time of 15.0 ± 10.2 and 20.0 ± 13.4 months, respectively. Success rates for ILM flaps and ILM peels were compared for full-thickness macular holes of 401 to 800 (100%, 95.8%, P = 0.39), 801 to 1,200 (95%, 93%, P = 0.74), and >1,200 (86.7%, 86.7%, P = 1.0) µm. Mean best-recorded logarithm of the minimal angle of resolution visual acuity for ILM flaps and ILM peels, respectively, was 1.02 ± 0.46 and 0.87 ± 0.47 preoperatively, with follow-up acuity of 0.48 ± 0.32 (P < 0.03) and 0.39 ± 0.42 (P < 0.01) at Year 3.
Conclusion: Both techniques provide a similar anatomical closure rate and functional improvement in vision. Comparisons should be cautiously made based on difference in preoperative hole size.
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تواريخ الأحداث: Date Created: 20240620 Date Completed: 20240620 Latest Revision: 20240620
رمز التحديث: 20240621
DOI: 10.1097/IAE.0000000000004099
PMID: 38900578
قاعدة البيانات: MEDLINE
الوصف
تدمد:1539-2864
DOI:10.1097/IAE.0000000000004099