Progression of Nuclear Sclerosis and Long-term Visual Results of Vitrectomy With Transforming Growth Factor Beta-2 for Macular Holes

Thompson, John T.; Glaser, Bert M.; Sjaarda, Raymond N.; Murphy, Robert P.

doi:10.1016/s0002-9394(14)73812-7

Cited by 193 publications

(68 citation statements)

References 9 publications

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“…This was true for distance visual acuity as well as for reading ability, although in most cases progressive nuclear sclerosis appeared. During this study one eye needed cataract extraction but it has been reported that approximately 75% require cataract extraction within 2 years of macular hole surgery (Thompson et al 1995).…”

Section: Discussionmentioning

confidence: 87%

Preoperative measurements of macular hole with scanning laser ophthalmoscopy. Correlation with functional outcome

Byhr

Lindblom

1998

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To measure the dimensions of macular holes before surgery and compare them with the functional outcome. Methods: A prospective study of ten consecutive patients scheduled for macular hole surgery. Macular holes were imaged with scanning laser ophthalmoscopy with different laser wavelengths. Computerized image analyses were used to measure the size of the hole and the surrounding rim. Results: Eyes were referred to three different groups preoperatively according to visual function. Measurements of the longest diameter and the area of the macular hole were found to correlate well with visual function tested before and after surgery. All holes closed after one operation. Eighty per cent of eyes improved two or more lines on the distance visual chart and all patients but one could read a newspaper six months after surgery. Conclusion: Preoperative size of macular hole can be used as a predictor of the functional outcome of macular hole surgery.

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Section: Discussionmentioning

confidence: 87%

Preoperative measurements of macular hole with scanning laser ophthalmoscopy. Correlation with functional outcome

Byhr

Lindblom

1998

Acta Ophthalmologica Scandinavica

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“…26 Indeed, this fact was highlighted in the study by Thompson et al 27 in which 71% of eyes that underwent such surgery required cataract extraction within the first 2 years after their initial procedure. It is also noteworthy that the incidence of posterior subcapsular lens opacities was higher in those patients who did not posture compared with those who did, following macular hole surgery in the study by Tranos et al 4 Two further points regarding cataract surgery performed as a separate procedure merit discussion.…”

Section: Discussionmentioning

confidence: 99%

Combined 23-gauge, sutureless transconjunctival vitrectomy with phacoemulsification without face down posturing for the repair of idiopathic macular holes

Heath

Rahman

2010

Eye

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“…In Brooke's recent series, 97% of patients were pseudophakic at the time of final follow-up. 26 The 'one-stop' approach of prophylactic combined clear lens phacovitrectomy removes the need for a second subsequent procedure. There may also be nonsocial theoretical benefits to such prophylactic simultaneous cataract surgery.…”

Section: Simultaneous Phacoemulsificationmentioning

confidence: 99%

Outcomes of macular hole surgery: implications for surgical management and clinical governance

Jaycock

Bunce

Xing

et al. 2004

Eye

101

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Purpose The optimal method and timing of the surgical treatment for idiopathic macular holes remains unknown. The aim of this retrospective study was to identify factors associated with anatomical and visual success in macular hole surgery. Methods Case records of 55 patients undergoing macular hole surgery at three units in the 2-year period up to July 2002 were reviewed to identify factors associated with anatomical and visual success. The following potential prognosticators were evaluated: patient age, hole stage, hole latency prior to surgery, preoperative acuity, simultaneous phacoemulsification, and intraocular lens implantation, internal limiting membrane peeling with and/or without indocyanine green, and postoperative posturing. Results The duration of preoperative symptoms, indocyanine green-assisted internal limiting membrane peeling, hole stage, and better preoperative visual acuity were associated with both anatomical success and regaining a postoperative visual acuity of 6/12 or better. Discussion The closure rate in patients undergoing surgery within 1 year of onset was 94.0%, and in those waiting 1 year or more it was 47.4%. Clinical governance and quality issues should dictate that NHS macular hole surgery is available to all within 1 year of onset. This study showed no adverse effect of ICG dye retinal staining. The results support the use of a 'patientfriendly' approach of simultaneous cataract surgery with no prone postoperative posturing.

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Progression of Nuclear Sclerosis and Long-term Visual Results of Vitrectomy With Transforming Growth Factor Beta-2 for Macular Holes

Cited by 193 publications

References 9 publications

Preoperative measurements of macular hole with scanning laser ophthalmoscopy. Correlation with functional outcome

Preoperative measurements of macular hole with scanning laser ophthalmoscopy. Correlation with functional outcome

Combined 23-gauge, sutureless transconjunctival vitrectomy with phacoemulsification without face down posturing for the repair of idiopathic macular holes

Outcomes of macular hole surgery: implications for surgical management and clinical governance

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