Macular Hole Closure With Internal Limiting Membrane Abrasion Technique

JAMA Ophthalmology
Vinit B MahajanStephen R Russell

Abstract

Internal limiting membrane (ILM) abrasion is an alternative surgical technique for successful full-thickness macular hole (MH) repair. To study the effects of ILM abrasion as an alternative method of MH repair. Retrospective consecutive case series from January 2006 to December 2008. Demographic data and preoperative, intraoperative, and postoperative examination records of all patients were reviewed for patients who underwent ILM abrasion with a diamond-dusted membrane scraper during vitrectomy for MH repair. A total of 100 eyes underwent ILM abrasion as an alternative to traditional ILM peeling. Rate of MH closure and visual acuity (VA) outcomes at 3 months after surgery. Macular hole closure was achieved with a single surgical procedure in 94 of 100 eyes (94.0%; 95% CI, 87.4%-97.8%). Among all patients, the median preoperative VA was 20/100 (range, 20/30 to hand motions; 25th quartile, 20/60; and 75th quartile, 20/160), and the median postoperative VA at 3 months after surgery was 20/60 (range, 20/20 to hand motions; 25th quartile, 20/40; and 75th quartile, 20/100). Among all patients with stage 2 MHs, 30 of 38 patients (78.9%) had at least 2 lines of VA gain: 15 of 23 (65.2%) were phakic, and 15 of 15 (100%) were pseudophak...Continue Reading

Citations

Jan 6, 2016·Ophthalmic Surgery, Lasers & Imaging Retina·Ella H LeungPhilip J Rosenfeld
Dec 7, 2017·Retina·Irini P ChatziralliDavid H W Steel
Jan 5, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Jia-Horung HungShwu-Jiuan Sheu
Jun 1, 2018·Journal of Ophthalmology·Peng-Peng ZhaoJin-Song Zhao
Dec 20, 2018·Ophthalmic Surgery, Lasers & Imaging Retina·David R P AlmeidaVinit B Mahajan
Jun 14, 2019·Journal of Ophthalmology·Guzel BikbovaKeisuke Mori
Aug 20, 2021·Clinical Ophthalmology·Nisa SilvaAngelina Meireles
Jul 6, 2020·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Alexander MehtaDavid H Steel

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