Non-inverted pedicle internal limiting membrane transposition for large macular holes

Eye
Zizhong HuPing Xie

Abstract

The purpose of this study is to investigate the effectiveness of a new surgical technique of non-inverted pedicle internal limiting membrane (ILM) transposition for the treatment of eyes with large macular hole. This is a retrospective, consecutive, interventional case series. Twelve eyes of 12 consecutive patients who underwent vitrectomy for the treatment of a large macular hole (MH size > 400 µm) were treated. ILM was peeled and left with a pedicle attached to the superior temporal retina. The macular hole was covered by transposition of the pedicle ILM in a non-inverted way. Preoperative and postoperative best-corrected visual acuity (BCVA), SD-OCT image, macular sensitivity by microperimetry, and multifocal electroretinogram (mERG) response were evaluated. All of the patients were followed for more than 3 months. Postoperative OCT examination confirmed 11 of 12 macular hole closed (91.7%). Six macular hole filled with silicone oil closed as early as the next day. The postoperative BCVA significantly increased compared with preoperative BCVA (P = 0.002). The improvement of macular sensitivity within 2° and 8° circle was also statistical significant (P = 0.018 and P = 0.017, respectively). Fixation stability, shown as the pe...Continue Reading

References

Mar 27, 2002·The British Journal of Ophthalmology·S UllrichA Kampik
Apr 7, 2007·European Journal of Ophthalmology·S AlpatovV Malyshev
Nov 1, 2007·Documenta Ophthalmologica. Advances in Ophthalmology·Donald C HoodAnja M Palmowski-Wolfe
Jun 15, 2010·Ophthalmology·Zofia MichalewskaJerzy Nawrocki
Oct 19, 2012·The British Journal of Ophthalmology·Ramin TadayoniPascale Massin
Oct 2, 2015·Journal of Ophthalmology·Rachel GelmanJohn Byron Christoforidis

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Citations

Jan 5, 2022·Ophthalmic Surgery, Lasers & Imaging Retina·Aneesha KalurRishi P Singh

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Methods Mentioned

BETA
lavage

Software Mentioned

scan
SPSS
RETI
microperimetry MP1

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