Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery

Li, Yutong; Jin, Siyan; Shi, Lijun; Qin, Hecong; Zhao, Jinsong

doi:10.1155/2021/7861180

Cited by 9 publications

(6 citation statements)

References 95 publications

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“…OCT has strong tissue penetration, contains stereoscopic imaging, and provides more details of the lesions, thereby supporting the quantification of the lesions directly 7 . Based on OCT images, researchers have proposed a number of predictors of MH surgical efficacy 8 . However, most of these parameters are diameters of MH or intraretinal cysts (IRC), which cannot be used to fully describe the three-dimensional structure of MH.…”

Section: Background and Summarymentioning

confidence: 99%

OIMHS: An Optical Coherence Tomography Image Dataset Based on Macular Hole Manual Segmentation

Ye,

He,

Zhong

et al. 2023

Sci Data

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Macular holes, one of the most common macular diseases, require timely treatment. The morphological changes on optical coherence tomography (OCT) images provided an opportunity for direct observation of the disease, and accurate segmentation was needed to identify and quantify the lesions. Developments of such algorithms had been obstructed by a lack of high-quality datasets (the OCT images and the corresponding gold standard macular hole segmentation labels), especially for supervised learning-based segmentation algorithms. In such context, we established a large OCT image macular hole segmentation (OIMHS) dataset with 3859 B-scan images of 119 patients, and each image provided four segmentation labels: retina, macular hole, intraretinal cysts, and choroid. This dataset offered an excellent opportunity for investigating the accuracy and reliability of different segmentation algorithms for macular holes and a new research insight into the further development of clinical research for macular diseases, which included the retina, lesions, and choroid in quantitative analyses.

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Section: Background and Summarymentioning

confidence: 99%

OIMHS: An Optical Coherence Tomography Image Dataset Based on Macular Hole Manual Segmentation

Ye,

He,

Zhong

et al. 2023

Sci Data

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“…The dynamic assessment of the repercussions of the surgical maneuvers on retinal tissue might lead to new insights into the biomechanical response of the retina to ILM peeling and, therefore, to better guiding the surgeon. New advancements in iOCT technology are needed and could contribute to settling controversies such as the need for a customizable size of ILM peeling, the technique of choice for each case (e.g., inverted ILM flap technique and, for that matter, the subtype: temporal, cabbage leaf, or any other) and the control of factors associated with anatomic failure after FTMH surgery [ 50 , 51 ].…”

Section: Future Perspectives and Technologiesmentioning

confidence: 99%

Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives

Haave

Bragadóttir

et al. 2022

Biomedicines

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Background: Non-invasive diagnostic technologies in ophthalmology have substantially transformed contemporary clinical practice. Intraoperative optical coherence tomography (iOCT) systems have recently been used for various surgical interventions, including the treatment of full-thickness macular holes (FTMHs). Materials and Methods: We conducted a systematic review on the use of iOCT and its possible benefits in the management of FTMHs, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA). The level of evidence according to the Oxford Centre for Evidence-Based Medicine (OCEM) 2011 guidelines, and the quality of evidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system, were assessed for all included articles. Results: 1131 articles were initially extracted, out of which 694 articles were obtained after duplicates were removed and their abstracts screened. A total of 65 articles was included for full-text review. Finally, 17 articles remained that fulfilled the inclusion criteria. Conclusions: Even though there is just a small number of studies with solid results, the use of iOCT in FTMH surgery may be a helpful tool for both novice and experienced surgeons planning and managing difficult cases. Additionally, it could be used for teaching reasons and for exploring novel surgical techniques.

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“…A macular hole (MH) refers to a full-thickness anatomical break or defect in the fovea, which results in blurred and distorted central vision. MH most commonly involves idiopathic causes; however, it has secondary causative factors, including high myopia, cystoid macular edema (CME), inflammation, and trauma [1]. Several theories regarding the pathogenesis of MH have been proposed, with some suggesting traction of the vitreous and internal limiting membrane (ILM) [2,3] as well as vitreous humor retention in the middle and outer retinal tissues due to the breakdown of the inner retinal structure in the macula (Tornambe's hydration theory) [4].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report

Haraguchi,

Wakuta,

Ariyoshi

et al. 2024

Case Rep Ophthalmol

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Introduction: Post-vitrectomy cystoid macular edema (CME) can lead to failure of macular hole (MH) closure. We report 2 cases of failure of MH closure due to post-vitrectomy CME, which were successfully treated using sub-Tenon triamcinolone acetonide (STTA) injection. Case Presentations: Case 1 involved a 72-year-old male patient with a Gass Stage 3 MH in the right eye. He underwent pars plana vitrectomy (PPV), internal limiting membrane translocation, and sulfur hexafluoride (SF6) gas injection with cataract surgery in his right eye. The MH did not close postoperatively; further, CME developed at the edge of the MH. Accordingly, the patient underwent an STTA injection. Approximately 2 weeks after the STTA injection, the CME disappeared and the MH closed, which has remained closed 1 year after PPV. Case 2 involved a 78-year-old female patient with Gass Stage 3 MH in the left eye. The patient underwent the same surgical procedure as that performed in case 1. Further, she presented with failure of MH closure caused by CME; therefore, an STTA injection was performed. Approximately 6 weeks after STTA injection, the CME disappeared and the MH closed; further, there was maintained improvement of best-corrected visual acuity for 6 months. Conclusions: STTA injection could be considered before reoperation in cases involving failure of MH closure due to postoperative CME.

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Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery

Cited by 9 publications

References 95 publications

OIMHS: An Optical Coherence Tomography Image Dataset Based on Macular Hole Manual Segmentation

OIMHS: An Optical Coherence Tomography Image Dataset Based on Macular Hole Manual Segmentation

Intraoperative Optical Coherence Tomography in the Management of Macular Holes: State of the Art and Future Perspectives

Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report

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