The Effect of Postoperative Face-Down Positioning and of Long- versus Short-Acting Gas in Macular Hole Surgery

Essex, Rohan W.; Kingston, Zabrina S.; Moreno‐Betancur, Margarita; Shadbolt, Bruce; Hunyor, Alex P.; Campbell, William; Connell, Paul; McAllister, Ian L.

doi:10.1016/j.ophtha.2015.12.039

Cited by 73 publications

(50 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Zwei Wochen postoperativ wurden der Visus und die Verschlussrate mittels SD-OCT überprüft. [4,6,21,25,26]. Wir untersuchten im Gegensatz dazu den Zusammenhang zwischen dem präoperativen Visus und der Größe des Makulaforamens in der SD-OCT, hier zeigte sich eine negative Korrelation.…”

unclassified

See 1 more Smart Citation

Einfluss der Lochbreite auf Visus, Endotamponade und Verschlussrate beim Makulaforamen

Wirbelauer¹,

Kolarov²,

Just

2016

Klin Monatsbl Augenheilkd

View full text Add to dashboard Cite

The influence of the width of a full-thickness macular hole on preoperative visual acuity and its role for the intraoperative approach and closure rate were analysed in a prospective study. For 47 patients with a full thickness macular hole, a precise analysis of the central retina was performed with SD-OCT. An SF-gas-air mixture was used, with a lower concentration (15 %) for smaller holes ≤ 400 µm (group 1, n = 17) and a higher concentration (30 %) for larger holes > 400 µm (group 2, n = 30). Besides preoperative visual acuity, postoperative IOP fluctuations and closure rate were reviewed. The mean hole width with SD-OCT was 419 ± 155 µm, with a significant negative correlation with preoperative visual acuity (r = - 0.56, p = 0.002). In the first group, mean early postoperative IOP was 23 mmHg and in the second group 33 mmHg (p< 0.001). Thus, for small macular holes, early postoperative IOP decompensation from gas expansion in the eye could be minimised. The closure rate was 90 %, with no significant difference between the two groups (p > 0.05). Determining the width of a macular hole with SD-OCT is an important indicator for the necessary endotamponade. Using a lower gas concentration (15 %) for smaller holes (≤ 400 µm) to prevent postoperative IOP fluctuations does not negatively influence closure rates.

show abstract

unclassified

“…Eine bestimmte Konfiguration der Foramina mit hoch abgehobenen Rändern sowie engerer Basis korreliert mit besserem postoperativem Visus [6,25]. In unserer klinischen Untersuchung wurde eine Trennung von kleineren und größeren Foramina bei 400 µm klinisch als sinnvoll gesehen [8,14,15,26]. Dieser Schwellenwert wurde bereits in der IVTS-Klassifikation eingeführt [8].…”

unclassified

Einfluss der Lochbreite auf Visus, Endotamponade und Verschlussrate beim Makulaforamen

Wirbelauer¹,

Kolarov²,

Just

2016

Klin Monatsbl Augenheilkd

View full text Add to dashboard Cite

show abstract

“…4,5 Since Tornambe et al in 1997 reported successful surgery of MH without postoperative face-down positioning, 6 there is growing evidence supporting a postoperative regimen where the patients avoid upward gaze and a supine sleeping position. [7][8][9][10] The most critical period following surgery occurs within the first 24 hours, in which 82% of the MH close. 11 If a MH does not close during the first 3 days, it is likely to remain open.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Nonsupine Positioning after Macular Hole Surgery

Lindtjørn

Krohn

Austeng

et al. 2019

Ophthalmology Retina

View full text Add to dashboard Cite

show abstract

“…6 It has been reported that more than 90% of IMHs closed after being treated with PPV combined with ILM peeling and inert gas or room air tamponade. [7][8][9][10] The initial closure rates of IMHs ranged from 75.6% to 100%. [11][12][13][14][15] However, there are still some IMHs cannot close after surgery, especially in stage III or IV IMHs.…”

Section: Introductionmentioning

confidence: 99%

Hole Diameter Ratio for Prediction of Anatomical Outcomes in Stage III or IV Idiopathic Macular Holes

You

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose: To determine whether preoperative hole diameter ratio (HDR) is a predictive factor for postoperative anatomical outome for stage III or IV idiopathic macular holes (IMHs).Methods: One-hundred and one eyes with stage III or IV IMH were included in this retrospective case series study. All cases were treated with vitrectomy combined with internal limiting membrane (ILM) peeling and room air tamponade. The macular hole (MH) minimum and maximum diameter was measured on preoperative optical coherence tomography (OCT) images. The HDR was defined as the minimum to maximum diameter ratio. Results: Eighty-one eyes (80.2%) got a Type I closure after surgery (group A). Postoperative unclosed MHs were found in 20 eyes (19.8%) (group B). The preoperative minimal diameter (703.6±116.1mm vs. 597.6±120.1mm, P<0.01) and HDR (0.6±0.1 vs. 0.5±0.1, P=0.01) were both significantly smaller in postoperative closed eyes. The closure rate of IMHs with HDR<0.6 was significantly higher than those with HDR³0.6 (90.2% vs. 65.0%P=0.002) .Conclusions: Preoperative HDR<0.6 is predictive for a good postoperative anatomical outcome in stage III or IV IMHs.

show abstract

The Effect of Postoperative Face-Down Positioning and of Long- versus Short-Acting Gas in Macular Hole Surgery

Cited by 73 publications

References 49 publications

Einfluss der Lochbreite auf Visus, Endotamponade und Verschlussrate beim Makulaforamen

Einfluss der Lochbreite auf Visus, Endotamponade und Verschlussrate beim Makulaforamen

Nonsupine Positioning after Macular Hole Surgery

Hole Diameter Ratio for Prediction of Anatomical Outcomes in Stage III or IV Idiopathic Macular Holes

Contact Info

Product

Resources

About