Two-Year Anatomical and Functional Outcomes After Macular Hole Surgery: A Prospective, Controlled Study

Thinda, Sumeer; Shah, Rohan J.; Kim, Stephen J.

doi:10.3928/23258160-20151008-05

Cited by 5 publications

(8 citation statements)

References 22 publications

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“…At 6 months, the nasal RNFL was significantly thicker in only the study by Hibi et al [ 14 ]. On the other hand, the inferior RNFL was reduced at 12 months as reported by Lalezary et al [ 18 ] or at 24 months by Thinda et al [ 27 ]. The inferior sector is the 226–315° quadrant with the Cirrus OCT.…”

Section: Discussionsupporting

confidence: 55%

“…It has been reported that the RNFL was thicker in the temporal sector at the baseline in eyes with an ERM and was thinner after successful surgery [ 24 ]. However, the RNFL thickness was evaluated in not only MH eyes but also some eyes with a MH and ERM in some studies [ 16 , 18 , 25 – 27 ]. We believe it is important to show that there was no significant difference in the preoperative RNFL thickness between the eyes with a MH and the fellow eyes.…”

Section: Discussionmentioning

confidence: 99%

“…Third, phacovitrectomy may contribute to the significant increases in the RNFL thicknesses at 6 and 12 months. When cataract surgery is not performed during the PPV, cataract surgery was needed in 6 of 13 MH eyes within a year [ 18 ] or all 8 eyes by 2 years [ 27 ]. The development of cataract may have some influence on the measurements of RNFL thickness.…”

Section: Discussionmentioning

confidence: 99%

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Transient Increase of Retinal Nerve Fiber Layer Thickness after Vitrectomy with ILM Peeling for Idiopathic Macular Hole

Ohta

Sato

Senda

et al. 2016

Journal of Ophthalmology

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Purpose. The purpose of this study was to determine the long-term changes in the circumpapillary retinal nerve fiber layer (RNFL) thickness following macular hole surgery with internal limiting membrane (ILM) peeling combined with phacoemulsification. Methods. Thirty-eight eyes of 37 patients who had pars plana vitrectomy (n = 36) between 2010 and 2014 were studied. The average thicknesses of the global and the six sectors of the RNFL were determined before and at 1, 3, 6, 12, and 24 (n = 22) months (M) after the surgery by spectral-domain optical coherent tomography. The postoperative mean RNFL thickness at each time was compared to that before the surgery by paired t-tests. Results. The RNFL of the operated eyes was significantly thicker at 1 month (1 M) and 3 M in all but the inferior-nasal sectors. The significant increase remained until 12 M in the superior-temporal and superior-nasal sectors. In addition, the RNFL was also significantly thicker in the temporal-inferior sector at 12 M based on the findings in 38 eyes. Conclusions. The postoperative RNFL was thicker in all but the nasal-inferior sector for at least 12 M after surgery. This prolonged increase of the RNFL thickness may indicate damage and mild edema of the RNFL.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Transient Increase of Retinal Nerve Fiber Layer Thickness after Vitrectomy with ILM Peeling for Idiopathic Macular Hole

Ohta

Sato

Senda

et al. 2016

Journal of Ophthalmology

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“…Although the etiology of IMH is varied and the exact mechanism of the development of IMH remains to be further explored, the consensus has not changed that the principle treatment for MH is vitreoretinal surgery. Currently, the classic procedure for treating IMH is pars plana vitrectomy with peeling of the internal limiting membrane and intraocular gas tamponade, followed by a face-down position for several days [ 4 , 5 ]. Because of gas tamponade, the face-down position after the IMH surgery can cause much discomfort.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Vitrectomy Combined with Internal Limiting Membrane Peeling for the Treatment of Idiopathic Macular Hole with Air or C3F8 Intraocular Tamponade

Chen

Yao

Hao

et al. 2018

Journal of Ophthalmology

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Purpose The treatment of idiopathic macular holes has been basically modeled, and vitreoretinal surgery is recognized as an effective treatment. However, the postoperative tamponade of gas will still make the patient uncomfortable and may have related complications. The purpose of this study is to investigate whether air as an intraocular tamponade is equivalent to gas and what advantages may exist. Methods A retrospective study was performed in one hundred and ninety-eight patients from 2013 to 2017; 112 received gas tamponade and 86 received air tamponade. After receiving retinal surgery, the outcomes of best corrected visual acuity, intraocular pressure, slit lamp examination, fundus examination, and imaging of the macula by spectral-domain optical coherence tomography were analyzed. Results Before operation, there was no statistically significant difference in age, sex, macular hole diameter, or visual acuity between groups. The median follow-up period for the C3F8 group was 26 months, and the median follow-up for the air group was 25 months. After the operation, the best corrected visual acuity and macular hole closure rate were not significantly different between the two groups. The face-down time after the operation, the incidence of lens opacity on the third postoperative day, the intraocular pressure on the third postoperative day, and the operation time were significantly different between the two groups. Conclusions In idiopathic macular hole surgery, the effect of air as an intraocular tamponade material can be similar to that of C3F8 but has fewer complications. In particular, it is a better choice for patients for whom the face-down position is not suitable.

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“…After the introduction of ILM peeling, the success rate of surgical management of macular hole has improved tremendously. Several studies have shown that internal limiting membrane (ILM) peeling in macular hole surgery causes changes in the macular thickness and decrease in retinal sensitivity [1][2][3][4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Macular Abnormality after Successful Surgery for Idiopathic Macular Hole Assessed Using Optical Coherence Tomography

Hussain¹

2018

MSOR

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Two-Year Anatomical and Functional Outcomes After Macular Hole Surgery: A Prospective, Controlled Study

Abstract: Eyes after MH repair demonstrated inferior RNFL and GCIPL thinning. Defect size in ELM, IS/OS junction, and COST line predicted visual recovery.

Cited by 5 publications

References 22 publications

Transient Increase of Retinal Nerve Fiber Layer Thickness after Vitrectomy with ILM Peeling for Idiopathic Macular Hole

Transient Increase of Retinal Nerve Fiber Layer Thickness after Vitrectomy with ILM Peeling for Idiopathic Macular Hole

A Comparative Study of Vitrectomy Combined with Internal Limiting Membrane Peeling for the Treatment of Idiopathic Macular Hole with Air or C3F8 Intraocular Tamponade

Macular Abnormality after Successful Surgery for Idiopathic Macular Hole Assessed Using Optical Coherence Tomography

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