A New Method of Treating Macular Holes

Alpatov, S. A.; Щуко, А. Г.; Малышев, В. В.

doi:10.1177/112067210701700215

Cited by 48 publications

(20 citation statements)

References 25 publications

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“…MH with a large diameter does not seem to close easily, regardless of the tamponade materials or the prone positioning period. The treatment of large MH, more than 701μm in this study, might have to be improved in addition to the standard procedure as mentioned in a few reports, such as compression of the retinal edge [26]. On the other hand, there is a possibility that treatments for small MH can be simplified and that prone positioning after surgery is unnecessary.…”

Section: Discussionmentioning

confidence: 89%

Equivalent tamponade by room air as compared with SF6 after macular hole surgery

Hasegawa

Hata

Mochizuki

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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Section: Discussionmentioning

confidence: 89%

Equivalent tamponade by room air as compared with SF6 after macular hole surgery

Hasegawa

Hata

Mochizuki

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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“…After the 1-month visit, repeated surgery was performed in six cases. In two cases with air, in two cases with air and massage of the borders of the macular hole [15], and in two cases with silicone oil. Another two patients with open macular hole refused surgery, but were examined during the further follow-up visits.…”

Section: Resultsmentioning

confidence: 98%

Continuous changes in macular morphology after macular hole closure visualized with spectral optical coherence tomography

Michalewska¹,

Michalewski²,

Nawrocki³

2010

Graefes Arch Clin Exp Ophthalmol

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Macular holes close with a bridge-like glial proliferation. The size of the elevation of outer retinal layers decreases with time. Photoreceptor defects get continuously smaller for at least 12 months postoperatively, which statistically significantly correlates with visual acuity improvement (p < 0.01). Additionally, foveal contour improves with time. Possible mechanisms are glial cells pushing the photoreceptors onto new positions or restoration of the outer segments from the intact photoreceptor body.

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“…One of the most important factors determining the final outcome of the surgery is the size of the macular hole. Several techniques have been proposed to improve surgical outcome in large macular holes [4, 5]. …”

Section: Introductionmentioning

confidence: 99%

“…Among others, Alpatov et al [4] have presented a method of mechanically bringing the borders of full-thickness macular holes close to each other in order to improve the closure rate.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Decrease of Retinal Pigment Epithelium Defects in Large Stage IV Macular Holes with Borders Mechanically Joined during Surgery

Michalewska¹,

Michalewski²,

Nawrocki³

2011

Case Rep Ophthalmol

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Purpose: The aim of this paper is to present retinal pigment epithelium (RPE) defects in spectral domain optical coherence tomography (SD-OCT) and their gradual resolution over time. Materials and Methods: Observational case series of 3 eyes of 3 patients who were followed for a period of 3–6 years after undergoing surgery to mechanically close the borders of large stage IV macular holes. Photoreceptor defects and RPE defects were measured during this period with SD-OCT. Results: In all cases, a reduction in the size of the areas of photoreceptor and RPE defects was noted, which correlated with late improvement in visual acuity (VA). Conclusions: In eyes with no underlying retinal pigment epithelial or choroidal disease, restoration of RPE is possible in vivo for up to several years after surgery for macular hole closure. An improvement in VA is possible, even lasting many years after successful macular hole surgery, which corresponds to a decrease in both RPE defects and the size of the defects in the junction between the inner and outer segments of photoreceptors.

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A New Method of Treating Macular Holes

Abstract: Mechanical joining and compression of the retinal edges during surgery for stage 3 or 4 idiopathic macular holes appears to yield a promising anatomic and functional result.

Cited by 48 publications

References 25 publications

Equivalent tamponade by room air as compared with SF6 after macular hole surgery

Equivalent tamponade by room air as compared with SF6 after macular hole surgery

Continuous changes in macular morphology after macular hole closure visualized with spectral optical coherence tomography

Long-Term Decrease of Retinal Pigment Epithelium Defects in Large Stage IV Macular Holes with Borders Mechanically Joined during Surgery

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