Macular Hole Closure With Triamcinolone-Assisted Internal Limiting Membrane Peeling

Tewari, Asheesh; Almony, Arghavan; Shah, Gaurav K.

doi:10.1097/iae.0b013e31817d8be1

Cited by 23 publications

(12 citation statements)

References 40 publications

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“…Our anatomical and BCVA results are similar with that of others (Kumagai et al. 2007; Tewari et al. 2008).…”

Section: Discussionsupporting

confidence: 92%

“…Phakic three eyes (14%) have no cataract progression at last 12-month followup examination. Our anatomical and BCVA results are similar with that of others (Kumagai et al 2007;Tewari et al 2008).…”

Section: Discussionsupporting

confidence: 91%

“…They found as postoperative complications in mean 17‐month follow‐up period; retinal detachment in one eye and transient intraocular pressure elevation in five patients. Tewari et al. (2008) also reported anatomical hole closure rate in 36 eyes(97%) of 37 eyes after triamcinolone acetonide–assisted ILM peeling macular hole surgery.…”

Section: Discussionmentioning

confidence: 85%

“…The positive effects of ILM peeling on anatomical and functional outcomes in macular hole surgery have been reported (Brooks 2000 In our study, triamcinolone-assisted ILM removal achieved a primary anatomical closure in all cases. Best corrected visual acuity improved from 0.75 ± 0.2 to 0.31 ± 0.1 logMAR at the last visit (p < 0.001).Triamcinolone assisted ILM peeling has been described as an effective surgical technique with regard to the anatomical closure and visual outcome in macular surgery (Karacorlu et al 2005;Kumagai et al 2007;Tewari et al 2008). Kumagai et al (2007) reported that all macular hole closed after primary surgery in 96 eyes of 94 patients who underwent macular hole surgery with triamcinolone acetonide ILM peeling.…”

Section: Discussionmentioning

confidence: 99%

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Retinal sensitivity and fixation changes 1 year after triamcinolone acetonide assisted internal limiting membrane peeling for macular hole surgery – a MP‐1 microperimetric study

Özdemir

Karaçorlu

Şentürk

et al. 2010

Acta Ophthalmologica

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Purpose: To evaluate microperimetric changes 1 year after macular hole surgery with triamcinolone acetonide assisted internal limiting membrane (ILM) peeling. Methods: Twenty-two eyes of 22 patients with stage 3 and 4 idiopathic macular holes of <6 months' duration underwent vitrectomy with triamcinolone acetonide assisted ILM peeling. Best corrected visual acuity (BCVA) (logarithm of the minimum angle of resolution), and central retinal sensitivity were documented before and 1, 3, 6, and 12 months after surgery. Macular sensitivity (mean sensitivity in decibels-dB), and stability and location of fixation (preferred retinal locus) were determined using MP-1 microperimetry (Nidek). The MP-1 microperimetry sensitivity map was overlaid onto infrared images recorded on a Heidelberg scanning laser ophthalmoscope using dedicated MP-1 software to evaluate the fixation location before surgery. Anatomical success was evaluated with optical coherence tomography (OCT). Optical coherence tomography scans were recorded on an OCT 3000 scanner. Results: Anatomical success was achieved in all 22 eyes. All patients completed 1 year follow-up. No recurrence of macular hole was seen in any patients in the follow-up period. The mean BCVA improved from 0.75 ± 0.2 before surgery to 0.31 ± 0.1 log-MAR at the last visit (p < 0.001). Mean sensitivity improved from 3.7 ± 0.6 to 5.3 ± 1.0 dB at the last visit (p < 0.001). Before surgery, the preferred retinal locus was located on the margin of the hole in all, in 18 eyes on its upper part and in four eyes to the side or on its lower part. Preoperatively, 12 eyes were stable and 10 were relatively unstable, but 12 month after surgery, fixation stability had improved, and 20 eyes were stable and two were relatively unstable. Conclusions: MP-1 microperimetry sensitivity map overlaid onto an infrared image using dedicated MP-1 software can be used successfully to evaluate fixation location in patients with a macular hole before surgery. With microperimetry findings, we can also measure functional macular changes more precisely than using BCVA alone after mac-ular hole surgery. Our results also showed that retinal sensitivity and fixation properties were improved after vitrectomy with triamcinolone acetonide assisted ILM peeling in patients with idiopathic macular hole.

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“…Our anatomical and BCVA results are similar with that of others (Kumagai et al. 2007; Tewari et al. 2008).…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Retinal sensitivity and fixation changes 1 year after triamcinolone acetonide assisted internal limiting membrane peeling for macular hole surgery – a MP‐1 microperimetric study

Özdemir

Karaçorlu

Şentürk

et al. 2010

Acta Ophthalmologica

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show abstract

“…Triamcinolone acetonide does not stain the ILM, but rather highlights the ILM and allows good determination of the extent of the ILM peel intraoperatively ( Figure 5, A-D). 129 There have been anecdotal case reports that have described persistence of triamcinolone in the MH after vitrectomy surgery, but no long-term study has evaluated final outcomes. 130 Though used on a much smaller scale, autologous heparinized whole blood has also been shown to be a cost-effective and useful tool for assisting in delineating the ILM intraoperatively.…”

Section: Surgical Techniques Instrumentation and Adjunctsmentioning

confidence: 98%