Surgical management of macular holes

Benson, William E.; Cruickshanks, Karen C; Fong, Donald S.; Williams, George A.; Bloome, Michael A.; Frambach, Donald A.; Kreiger, Allan E.; Murphy, Robert P.

doi:10.1016/s0161-6420(01)00731-x

Cited by 155 publications

(37 citation statements)

References 49 publications

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“…The frequency of retinal detachment after PPV varies between 1.8% and 14%, whereas in small study populations the undulations are more pronounced. 18,21 In 2 of the 6 (33%) patients who had undergone PPV for macular hole surgery, we observed anatomically nonfitting edges by OCT. However, the patients reported subjectively less disturbing metamorphopsia and smaller central scotoma.…”

Section: Discussionmentioning

confidence: 80%

“…For both retinal disorders, the surgical interventions are established procedures with a postoperatively observed functional improvement of several lines. 18,19 The decreased vision on the first postoperative day is explained by the gas tamponade that was used in 5 patients (20%). However, we observed an increase of VA of one line at the 3 months control despite an increase of cataract formation.…”

Section: Discussionmentioning

confidence: 99%

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SAFETY PROFILE OF A TAURINE CONTAINING IRRIGATION SOLUTION (AcriProTect) IN PARS PLANA VITRECTOMY

Yoeruek¹,

Jägle²,

Lüke³

et al. 2007

Retina

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

SAFETY PROFILE OF A TAURINE CONTAINING IRRIGATION SOLUTION (AcriProTect) IN PARS PLANA VITRECTOMY

Yoeruek¹,

Jägle²,

Lüke³

et al. 2007

Retina

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“…Vitrectomy with intraocular gas tamponade is an established treatment for idiopathic macular holes. 1 Nuclear sclerotic cataract is a common complication of vitrectomy. Patients often require subsequent cataract surgery for correction and rehabilitation of vision.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of intraocular lens power estimation in eyes having phacovitrectomy for macular holes

Patel

Rahman

Kumarasamy

2007

Journal of Cataract and Refractive Surgery

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The achieved refraction after phacovitrectomy for macular holes was comparable to results after phacoemulsification alone. The myopic overcorrection after phacovitrectomy might be a result of the gas bubble causing forward displacement of the capsular bag and IOL or inaccuracies in AL and keratometry measurements. Aiming for residual hyperopia may counteract the overcorrection. There was no difference in AL between eyes with macular holes and fellow eyes.

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“…Several preoperative factors, such as symptom duration, size, and clinical stage, have been associated with postoperative visual prognosis in surgically closed MHs [19]. However, very limited information is available regarding the factors correlated with the integrity of the photoreceptor layer after surgery; no study, to our knowledge, has ever evaluated the correlation between preoperative RPE status and the anatomical and functional success after MH surgery.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Preoperative Retinal Pigment Epithelium Status with Foveal Microstructure in Repaired Macular Holes

et al. 2014

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Purpose: To investigate, with spectral-domain optical coherence tomography, if the preoperative status of the retinal pigment epithelium (RPE) affects the postoperative foveal morphology and visual outcomes in eyes with surgically closed macular holes (MHs). Methods: In 52 eyes with surgically closed MHs, preoperative RPE morphology was evaluated and graded based on the measurement of the largest hyperreflective protrusions above the RPE line. Foveal microstructural features and best-corrected visual acuity (BCVA) were evaluated 12 months after surgery. Results: At 12 months, a significant correlation was found between postoperative degree of integrity of the photoreceptors with preoperative RPE morphology, and base diameter of the hole (p = 0.003 and p = 0.028, respectively); mean BCVA at 12 months in eyes with diffuse RPE alteration was significantly lower than in eyes with small or no RPE alteration (p < 0.05). Conclusions: Preoperative RPE integrity may be indicative of good photoreceptor restoration and visual recovery in patients with surgically closed MHs.

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Surgical management of macular holes

Cited by 155 publications

References 49 publications

SAFETY PROFILE OF A TAURINE CONTAINING IRRIGATION SOLUTION (AcriProTect) IN PARS PLANA VITRECTOMY

SAFETY PROFILE OF A TAURINE CONTAINING IRRIGATION SOLUTION (AcriProTect) IN PARS PLANA VITRECTOMY

Accuracy of intraocular lens power estimation in eyes having phacovitrectomy for macular holes

Correlation of Preoperative Retinal Pigment Epithelium Status with Foveal Microstructure in Repaired Macular Holes

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