Duration of Prone Positioning After Macular Hole Surgery Determined by Swept-Source Optical Coherence Tomography

Sano, Masahiko; Inoue, Makoto; Itoh, Yuji; Kita, Yoshiyuki; Hirota, Kazunari; Koto, Takashi; Hirakata, Akito

doi:10.1097/iae.0000000000001394

Cited by 14 publications

(8 citation statements)

References 43 publications

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“…Some studies have monitored the timeline of macular hole closure by obtaining OCT imaging of the macula within days of vitrectomy surgery (through the gas-filled vitreous cavity) and used that information to curtail positioning. [113][114][115][116][117] In a recent meta-analysis of 251 cases by Hu et al concluded that no face down positioning was similar to face down positioning for holes smaller than 400µm, but face-down positioning may be beneficial for holes larger than 400µm. 118…”

Section: P189mentioning

confidence: 99%

Idiopathic Macular Hole Preferred Practice Pattern®

et al. 2020

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Section: P189mentioning

confidence: 99%

Idiopathic Macular Hole Preferred Practice Pattern®

et al. 2020

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“…Moreover, the use of silicone oil or PFL as tamponades might not be mandatory in cases undergoing ART. Short-term tamponades like SF6 gas or air might be enough to achieve an adequate tamponade effect [10]. Inserting the graft tissue beneath the MH edges might be sufficient to secure the donor graft while integrating with the adjacent receptor macular tissue.…”

Section: Discussionmentioning

confidence: 99%

Autologous Retinal Transplantation with the Use of Air Tamponade for the Treatment of a Primary Large Chronic Macular Hole

Mota¹

2021

Case Rep Ophthalmol

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The purpose of this case report is to describe a chandelier-assisted bimanual autologous retinal transplantation (ART) with air tamponade technique for the treatment of a large macular hole (MH). A patient with a primary chronic large MH, who underwent chandelier-assisted bimanual ART with the use of air tamponade is described. The MH diameter was 888 μm. Changes in best-corrected visual acuity (BCVA) were measured postoperatively; clinical pictures and optical coherence tomography were analyzed. Baseline preoperative BCVA was 20/400. Closure of the MH was achieved. At 7 months, post-surgery BCVA improved to 20/50. Optical coherence tomography examinations showed the integration of the autologous transplant with the adjacent macular tissue and continuity preservation of the ellipsoid layer. In conclusion, chandelier-assisted bimanual ART with air tamponade technique was effective in achieving complete MH closure and long-term visual improvement.

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“…The rationale for shortening FDP duration is supported by spectral-domain and swept-source OCT in the gas filled eye that shows MH closure as early as 0-2 days [27,28]. The reported rate of closure was 55-86% by POD1 [11,27,29].…”

Section: Current Trends In Positioningmentioning

confidence: 97%

Current Trends in Macular Hole Repair

2021

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Purpose To describe and detail the current surgical trends in the repair of macular holes so that retinal surgeons may have access to the most up to date advances in macular hole repair technology. Recent findings The inverted ILM flap and various iterations of the technique have been the dominant surgical trends for repair of both routine macular holes and those with a higher risk of non-closure when using standard surgical techniques. Additional surgical techniques include use of other acellular scaffolds such as lens capsule flaps or human amniotic membrane, autologous retinal transplantation, application of autologous blood products, and macular detachment with retinal incisions. Summary Surgical innovation in the last decade has focused on techniques to address core concepts of pathology that lead to macular hole formation or retard its repair, namely: novel ways to promote organized cell proliferation, release tractional forces on the retina, and increase retinal ''compliance'' to cover the foveal defect.

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Duration of Prone Positioning After Macular Hole Surgery Determined by Swept-Source Optical Coherence Tomography

Abstract: The SS-OCT protocol can significantly decrease the duration of the prone positioning without a reopening of the MH.

Cited by 14 publications

References 43 publications

Idiopathic Macular Hole Preferred Practice Pattern®

Idiopathic Macular Hole Preferred Practice Pattern®

Autologous Retinal Transplantation with the Use of Air Tamponade for the Treatment of a Primary Large Chronic Macular Hole

Current Trends in Macular Hole Repair

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