Inverted ILM flap, free ILM flap and conventional ILM peeling for large macular holes

International Journal of Retina and Vitreous
Raul Velez-MontoyaSergio E Hernandez-Da Mota

Abstract

To assess closure rate after a single surgery of large macular holes and their visual recovery in the short term with three different surgical techniques. Prospective multicenter randomized controlled trial. We included treatment-naïve patients with diagnosis of large macular hole (minimum diameter of > 400 µm). All patients underwent a comprehensive ophthalmological examination. Before surgery, the patients were randomized into three groups: group A: conventional internal limiting membrane peeling, group B: inverted-flap technique and group C: free-flap technique. All study measurements were repeated within the period of 1 and 3 months after surgery. Continuous variables were assessed with a Kruskal-Wallis test, change in visual acuity was assessed with analysis of variance for repeated measurements with a Bonferroni correction for statistical significance. Thirty-eight patients were enrolled (group A: 12, group B: 12, group C: 14). The closure rate was in group A and B: 91.6%; 95% CI 61.52-99.79%. In group C: 85.71%; 95% CI 57.19-98.22%. There were no differences in the macular hole closure rate between groups (p = 0.85). All groups improved ≈ 0.2 logMAR, but only group B reached statistical significance (p < 0.007). Despite ...Continue Reading

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Citations

Feb 23, 2020·Journal of Clinical Medicine·Giancarlo SborgiaGiovanni Alessio
May 30, 2019·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Lyubomyr M LytvynchukSusanne Binder
Oct 10, 2018·Retina·Eubee B Koo, William E Smiddy
Oct 24, 2019·International Journal of Retina and Vitreous·Giancarlo SborgiaGiovanni Alessio
Mar 18, 2020·International Journal of Retina and Vitreous·Nicholas S K FungWai Ching Lam
Aug 21, 2019·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Christos HaritoglouJoachim Wachtlin
Dec 18, 2020·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Christos Haritoglou
Jan 20, 2021·Indian Journal of Ophthalmology·Rahul K BafnaNamrata Sharma
Jan 30, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Nathalie BleidißelMathias Maier
Dec 10, 2020·International Journal of Retina and Vitreous·Sergio Rojas-JuárezRaul Velez-Montoya
Aug 20, 2021·Clinical Ophthalmology·Nisa SilvaAngelina Meireles
Nov 7, 2019·Case Reports in Ophthalmology·Filipe Sousa NevesMiguel Bilhoto
Dec 16, 2021·Ophthalmic Surgery, Lasers & Imaging Retina·Deependra Vikram SinghAwaneesh Upadhyay
Dec 24, 2021·Indian Journal of Ophthalmology·Dhanashree Ratra

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