Macular hole treatment

Merticariu, Andrei; Baltă, Florian; Pop, Mihai

doi:10.21614/jtmr-20-4-55

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…The pars plana vitrectomy (PPV) is the most effective procedure for the treatment of FTMH, with reported closure rates of first intervention exceeding 90% [3]. The main surgical indication for vitrectomy in FTMH is stages 2, 3, and 4 [4]. The classical surgical procedure consists of the central vitreous excision, the internal limiting membrane (ILM) staining and peeling, intraocular tamponade using air or expandable gases, and postoperative patient positioning.…”

Section: Introductionmentioning

confidence: 99%

Vertical and Horizontal M-Charts and Microperimetry for Assessment of the Visual Function in Patients after Vitrectomy with ILM Peeling due to Stage 4 Macular Hole

Wrzesińska

Nowomiejska

Nowakowska

et al. 2019

Journal of Ophthalmology

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Purpose. To examine the relationship between the morphological and functional results in eyes after pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling due to stage 4 full-thickness macular hole (FTMH). Methods. The study included 22 eyes that underwent successful PPV due to FTMH. Both vertical metamorphopsia (VM) and horizontal metamorphopsia (HM) were determined using type 2 M-charts, as well as best-corrected visual acuity (BCVA), microperimetry, and optical coherence tomography (OCT) were performed before PPV and 1 and 6 months postoperatively. Results. A significant improvement of BCVA and metamorphopsia scores measured by M-charts in particular periods before surgery, 1 and 6 months after PPV, was observed. The VM scores were consistently higher than the HM scores at all assessment times. There was a correlation found between VM and BCVA and microperimetry parameters before surgery. The macular sensitivity (MS) as well as macular integrity index increased from 1 month to 6 months after PPV and were correlated with postoperative visual acuity (VA). There was a correlation found between the hole diameter and MS and P2 parameter 6 months after PPV. There was a correlation found between mean duration of symptoms of FTMH and VA and VM score. Conclusions. VM scores seem to correlate better than HM scores with preoperative BCVA, microperimetry parameters, and duration of symptoms of the FTMH. VM scores are higher after PPV than HM scores in patients with stage 4 of the FTMH. This trial is registered with NCT03701542.

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Section: Introductionmentioning

confidence: 99%

Vertical and Horizontal M-Charts and Microperimetry for Assessment of the Visual Function in Patients after Vitrectomy with ILM Peeling due to Stage 4 Macular Hole

Wrzesińska

Nowomiejska

Nowakowska

et al. 2019

Journal of Ophthalmology

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“…MH is an anatomical condition that benefits only from surgical treatment (vitrectomy). There is currently a wide variety of procedures used and although they are relatively equal as anatomical closure rates and functional outcome, there is a difference regarding patient compliance and early postoperative quality of life (2).…”

Section: Introduction Introductionmentioning

confidence: 99%

25-Gauge Vitrectomy with Air Tamponade and 12 Hours Prone Positioning for a Stage 4 Macular Hole

Merticariu¹,

Barac²,

Baltă³

et al. 2016

JTMR

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Background: Macular hole is a rare retinal pathology with complex treatment options. All the modern surgical procedures used can achieve a high percentage ofanatomical hole closure, but functional recovery is incomplete and vulnerable to multiple complications. Case report: We present the case of a 61-year-old female with a history of high myopia, left eye high amblyopia, right eye operated retinal detachmentand cataract, diagnosed in 2012 with recent stage 4 macular hole on her single eye. We decided to perform in this case a nonstandard procedure: transconjunctival 25-G vitrectomy with only anair endotamponade and 12 hours prone positioning. Results: Despite the poor perspectives, the early postoperative outcome was favorable, without any significant complications and the final outcome was exceptionally good, with full visual function recovery and complete anatomical macular hole closure. Conclusion: the fast resolution air tamponade and short postoperative patient positioning can be just as effective as the standard surgical procedure, can produce above-average visual function recovery and is particularly useful in single eye patients.

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Macular hole treatment

Cited by 2 publications

References 24 publications

Vertical and Horizontal M-Charts and Microperimetry for Assessment of the Visual Function in Patients after Vitrectomy with ILM Peeling due to Stage 4 Macular Hole

Vertical and Horizontal M-Charts and Microperimetry for Assessment of the Visual Function in Patients after Vitrectomy with ILM Peeling due to Stage 4 Macular Hole

25-Gauge Vitrectomy with Air Tamponade and 12 Hours Prone Positioning for a Stage 4 Macular Hole

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