Surgical Outcomes of Primary RRD With and Without Concurrent Full-Thickness Macular Hole (PRO Study Report No. 7)

Starr, Matthew R.; Obeid, Anthony; Ryan, Edwin H.; Gao, Xinxiao; Matsunaga, Doug; Madhava, Malika; Maloney, Sean M.; Adika, Adam Z.; Peddada, Krishi; Sioufi, Kareem; Ammar, Michael; Patel, Luv; Ryan, Claire; Forbes, Nora J.; Capone, Antonio; Emerson, Geoffrey G.; Joseph, Daniel P.; Eliott, Dean; Regillo, Carl D.; Hsu, Jason; Yonekawa, Yoshihiro; Gupta, Omesh P.

doi:10.3928/23258160-20200831-04

Cited by 7 publications

(9 citation statements)

References 14 publications

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“…In contrast, noncausal MH and RRD have been reported to result in significantly worse visual acuity outcomes than RRD without MH. 20 Moreover, our results were not inferior and, in most cases, better than the ones reported in literature without the use of the inverted flap (Table 2 ). For instance, in the more recent published case series by Najafi et al on 17 MH-RRD patients, 15 of whom underwent ILM peeling, only 24% of the patients reached a final BCVA of at least 20/80, and the final MH closure rate was 71%.…”

Section: Discussionsupporting

confidence: 53%

“…However, the MH closure rate varied greatly from 31% to 100%. [1][2][3]5,9,10,13,[18][19][20][21] Although most patients undergo ILM peeling during the initial surgery, the role of ILM peeling remains controversial. Internal limiting membrane peeling in MH is primarily aimed to improve the surgical outcomes by removing any remaining tractional forces across the macular area.…”

Section: Discussionmentioning

confidence: 99%

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Inverted Internal Limiting Membrane Flap Technique for Macular Hole Coexistent With Rhegmatogenous Retinal Detachment

Stappler

Montesel

Konstantinidis

et al. 2022

Retina

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Inverted Internal Limiting Membrane Flap Technique for Macular Hole Coexistent With Rhegmatogenous Retinal Detachment

Stappler

Montesel

Konstantinidis

et al. 2022

Retina

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“…In the group with MHRD, during the primary surgery, ILM peeling was performed in 19 eyes, in which 17 eyes had MH closed;ILM peeling along with hinged single layer ap were performed in 14 eyes, in which According to previous reports, most eyes of MHRD were macula off. 1,2,4,5 Since macula attachment status would affect the pre-and postoperative visual outcome, to make the comparison more meaningful, we only include eyes with macula off RRD both in the study group and control group.…”

Section: Resultsmentioning

confidence: 99%

Clinical characteristics and optical coherence tomography of concomitant macular hole and rhgematogenous retinal detachment

Yang

Tsui

et al. 2023

Preprint

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Purpose: To study the clinical characteristics of macula off rhegmatogenous retinal detachment (RRD) with peripheral causative breaks and concomitant macular hole (MHRD). Methods: This is a Bi-center study. Consecutive eyes of macula off RRD with or without macular hole (MH) were collected. Eyes in these 2 groups were compared with best corrected visual acuity in logarithm of minimal angle of resolution (logMar BCVA), presence of choroidal detachment (CD), proliferative vitreoretinopathy (PVR) and the extent of RRD. In the group of MHRD, regression analysis was used to evaluate the correlation of clinical factors and final logMar BCVA. In addition, optical coherence tomography was performed both pre-and post- operatively if possible. Results: There were 40 eyes in the MHRD group and 80 eyes in the control group. Eyes with MHRD had worse initial and final logMar BCVA (p<0.001), higher incidence of CD (p<0.001), PVR and extensive RRD at baseline (p<0.001). Among the eyes with MHRD, final BCVA was correlated with initial BCVA(p<0.001 , CI: 0.637 to 0.837), recurrent RRD (p=0.004, CI: -0.661 to -0.126), duration of RRD ( p=0.021, CI: -0.576 to -0.048) and presence of PVR (p=0.001, CI: -0.131 to -0.035). The hole closure rate at final follow up is 87.5%.11 of the 17 eyes had preoperative OCT obtained had ellipsoid zone lining the bottom of MH. Conclusion: CD, PVR and extensive RRD were more commonly observed in MHRD. The morphology of MH suggests the pathogenesis of MH in MHRD include mechanism different from that of idiopathic MH.

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“…Macular hole coexisting with peripheral break(s) induced rhegmatogenous retinal detachment (RRD+MH) is noted in 1 to 3% of patients 1 – 5 .The surgical goal has always been to reattach the retina; however, the techniques have evolved from treating the peripheral break(s) only by scleral buckling or vitrectomy to addressing both the peripheral beak(s) and the concomitant macular hole (MH) with vitrectomy and internal limiting membrane (ILM) peeling with or without ILM flap 1 , 2 , 4 . Previous reports showed that patients with RRD+MH had higher chance of proliferative vitreoretinopathy (PVR) 1 , higher reoperation rate and less favorable visual outcome, compared to patients with simple RRD without MH 2 .…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and optical coherence tomography of concomitant macular hole and rhgematogenous retinal detachment

Yang,

Tsui,

Yang

et al. 2024

Sci Rep

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To study the clinical characteristics of macula off rhegmatogenous retinal detachment (RRD) with peripheral causative breaks and concomitant macular hole (RRD+MH). This is a bi-center study. Consecutive eyes of macula off RRD with or without macular hole (MH) were collected. Eyes in these two groups were compared with best corrected visual acuity in logarithm of minimal angle of resolution (logMAR BCVA), the presence of choroidal detachment (CD), proliferative vitreoretinopathy (PVR) and the extent of RRD. In the group of RRD+MH, regression analysis was used to evaluate the correlation of clinical factors and final logMar BCVA. In addition, optical coherence tomography was performed both pre-and post-operatively if possible. There were 40 eyes in the RRD+MH group and 80 eyes in the control group. Eyes with RRD+MH had worse initial and final logMar BCVA (p < 0.001), higher incidence of CD (p < 0.001), PVR and extensive RRD at baseline (p < 0.001). Among the eyes with RRD+MH, final BCVA was correlated with initial BCVA (p < 0.001, CI 0.637 to 0.837), recurrent RRD (p = 0.004, CI − 0.661 to − 0.126), duration of RRD (p = 0.021, CI − 0.576 to − 0.048) and presence of PVR (p = 0.001, CI − 0.131 to − 0.035). The hole closure rate at final follow up is 87.5%.11 of the 17 eyes had preoperative optical coherence tomography (OCT) obtained had ellipsoid zone lining the bottom of MH. CD, PVR and extensive RRD were more commonly observed in RRD+MH. The morphology of MH may suggest the pathogenesis of MH in RRD+MH include mechanism different from that of idiopathic MH.

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Surgical Outcomes of Primary RRD With and Without Concurrent Full-Thickness Macular Hole (PRO Study Report No. 7)

Cited by 7 publications

References 14 publications

Inverted Internal Limiting Membrane Flap Technique for Macular Hole Coexistent With Rhegmatogenous Retinal Detachment

Inverted Internal Limiting Membrane Flap Technique for Macular Hole Coexistent With Rhegmatogenous Retinal Detachment

Clinical characteristics and optical coherence tomography of concomitant macular hole and rhgematogenous retinal detachment

Clinical characteristics and optical coherence tomography of concomitant macular hole and rhgematogenous retinal detachment

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