Axial Length and Outcomes of Macular Hole Surgery Assessed by Spectral-Domain Optical Coherence Tomography

Suda, K.; Hangai, Masanori; Yoshimura, Nagahisa

doi:10.1016/j.ajo.2010.07.007

Cited by 70 publications

(40 citation statements)

References 54 publications

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“…The closure rate of 87.5 % was almost equal to the result of Eckardt et al in which they used similar methods as ours (Eckardt et al, 2008). In previous studies, it has been reported that the prognostic factors of macular hole surgery were the stage of macular hole, hole diameter, age of the macular hole and axial length (Ellis et al, 2000;Suda et al, 2011;Ullrich et al, 2002;Wells & Gregor, 1996). There were two cases required prone positioning over 3 days in this study.…”

Section: Discussionsupporting

confidence: 64%

“…One case was an old (5 years) and large hole (870 µm) and the other was also an old hole (15 years). In order to increase closure rates more, it might be better to use long-acting gas as tamponade material for keeping macular region dry for longer time and perform the additional treatment such as retinal stretch in cases which have bad prognostic factors, such as large diameter or long axial length (Wells & Gregor, 1996;Suda et al, 2011). We assume hole closure once there is connection of hole edges.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative Tamponade and Positioning Restrictions After Macular Hole Surgery

Hasegawa¹,

Mochizuki²,

Hata³

2012

Vitrectomy

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Postoperative Tamponade and Positioning Restrictions After Macular Hole Surgery

Hasegawa¹,

Mochizuki²,

Hata³

2012

Vitrectomy

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“…Despite similar surgical approaches, the anatomical outcome after vitrectomy may be very different from series to series. [25][26][27][28][29] Although it has been shown that longer axial length is associated with more severe traction maculopathy and poorer surgical anatomic outcome, 30 the case number is too small to provide meaningful statistical analysis on risk factors of persistent MH.…”

Section: Discussionmentioning

confidence: 99%

The development and evolution of full thickness macular hole in highly myopic eyes

Yang

2015

Eye

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Purpose To evaluate the morphological changes before and after the formation of a full-thickness macular hole (MH) in highly myopic eyes. Patients and methods Retrospective observational case series. From 2006 to 2013, clinical records of patients with MH and high myopia who had optical coherence tomography (OCT) before the development of MH were reviewed. All patients had been followed for more than 1 year since MH formation to observe the morphological changes.Results Twenty-six eyes of 24 patients were enrolled. The initial OCT images could be classified into four types: (1) normal foveal depression with abnormal vitreo-retinal relationship (eight cases), (2) macular schisis without detachment (six cases), (3) macular schisis with concomitant/subsequent detachment (nine cases), and (4) macular atrophy with underlying/adjacent scar (three cases). After MH formation, one case in type 1 and one case in type 4 group developed retinal detachment (RD). In type 2 group, four cases developed RD at the same time of MH formation. The preexisting detachment in type 3 group extended in eight cases and improved in one case. Among all the cases, 14 eyes received vitrectomy and 7 eyes received gas injection. MH sealed in nine eyes after vitrectomy and four eyes by gas injection. Conclusion The study revealed four pathways of MH formation in highly myopic eyes. MH from macular schisis tended to be associated with detachment. However, the evolution and the results of surgical intervention were not always predictable.

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“…However, surgical closure is not achieved after a single operation in all cases, and patients with long-standing MHs [2] or highly myopic eyes [3] are challenging to treat. Moreover, a flat/open shape is observed postoperatively in 19-39% of all MHs, and this configuration is related to a worse visual acuity [4,5] .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of the Perfluoro-N-Octane-Assisted Single-Layered Inverted Internal Limiting Membrane Flap Technique for Large Macular Holes

Pak

Park

et al. 2017

Ophthalmologica

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Purpose: The aim of this study was to evaluate the efficacy of the perfluoro-n-octane-assisted single-layered inverted internal limiting membrane (ILM) flap for large macular holes (MHs). Methods: We reviewed idiopathic MHs >400 μm. The patients were divided into ILM peeling (group P, 51 eyes) and ILM flap (group F, 41 eyes). Closure of MHs, best-corrected visual acuity (BCVA), and postoperative optical coherence tomography findings were analyzed. Results: MH closure was achieved in 88.2% in group P and in 100% in group F (p = 0.032). SF₆ and air was used most frequently in groups P and F, respectively. Both had a significant improvement in BCVA, which was better in group F until 3 months, but not at 6 months. At 6 months, the ellipsoid zone and external limiting membrane were restored with no significant difference. Conclusion: The single-layered inverted ILM flap was better for the closure of large MHs than ILM peeling, without using long-acting gas that prevents early rehabilitation.

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Axial Length and Outcomes of Macular Hole Surgery Assessed by Spectral-Domain Optical Coherence Tomography

Abstract: Axial length of 30.0 mm or more may increase the risk of anatomic failure of macular hole surgery.

Cited by 70 publications

References 54 publications

Postoperative Tamponade and Positioning Restrictions After Macular Hole Surgery

Postoperative Tamponade and Positioning Restrictions After Macular Hole Surgery

The development and evolution of full thickness macular hole in highly myopic eyes

Efficacy of the Perfluoro-N-Octane-Assisted Single-Layered Inverted Internal Limiting Membrane Flap Technique for Large Macular Holes

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