Surgical Outcomes in Eyes With Extremely High Myopia for Macular Hole Without Retinal Detachment

Wu, Tsung-Tien; Kung, Ya-Hsin; Chang, Chih-Yao; Su, Chang

doi:10.1097/iae.0000000000001806

Cited by 28 publications

(35 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although PPV with ILM peeling and intraocular gas tamponade leads to an anatomical closure rate more than 90% for idiopathic MH [56], in highly myopic eye the successful closure of MH varies considerably from 60% to 100% and some patients require multiple treatments in order to achieve the closure of the hole [20, 57]. The aim of vitrectomy is to release all vitreoretinal tractions from the vitreous and the epiretinal tissue and to reduce macular stretching caused by the ILM in order to promote retinal elongation and adaptation to the posterior staphyloma, if present.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…In high myopic MH, several factors may influence the anatomical and functional outcomes after surgery [44] including the increased axial length, the retinal shortening over an elongated sclera [57], the presence of posterior staphyloma [70], the presence of severe traction maculopathy [63], the presence of foveoschisis [41], and the intraoperative peeling of rigid and stiff ILM [71].…”

Section: Surgical Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Giacinto

Pastore

Cirigliano

et al. 2019

Journal of Ophthalmology

View full text Add to dashboard Cite

Macular hole (MH) in myopic eyes is a disease arising from complex tractional forces exerted by vitreomacular interface, epiretinal tissue, and progressive scleral ectasia of the posterior ocular globe wall. This retinal disease requires vitreoretinal treatment for its repair, and the surgical intervention remains a challenge also for experienced surgeons. The aim of this review is to describe the current knowledge regarding the pathogenesis of MH in myopic eyes and to detail novel surgical techniques and technological advancements in its surgical management.

show abstract

Section: Surgical Techniquesmentioning

confidence: 99%

Section: Surgical Techniquesmentioning

confidence: 99%

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Giacinto

Pastore

Cirigliano

et al. 2019

Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Even recently, authors from eastern Asian countries report successful off-label use of ICG for FTMH surgery in high myopia with or without retinal detachment, sometimes due to unavailability of BBG, with immediate ICG washing and excess removal by suction, possibly preceded by protection of the FTMH area with ophthalmic viscoelastic device [4,6,34].…”

Section: Discussionmentioning

confidence: 99%

“…Considering the still-frequent use of cyanine dyes in I-ILMFS, especially in eastern Asiatic countries [6,34], and the above, sometimes-conflicting data, we prospectively compared BBG and IFCG in I-ILMFS. Though ICG is still more widely used, IFCG in low concentration could be safer because of its lower toxicity.…”

Section: Introductionmentioning

confidence: 99%

Infracyanine Green vs. Brilliant Blue G in Inverted Flap Surgery for Large Macular Holes: A Long-Term Swept-Source OCT Analysis

et al. 2020

View full text Add to dashboard Cite

Background and Objectives: To compare the long-term toxicity of infracyanine green (IFCG) to brilliant blue G (BBG) in inverted internal limiting membrane flap surgery (I-ILMFS) for large, full-thickness macular holes (FTMHs). Materials and Methods: Prospective randomized study including 39 eyes with ≥ 400 µm idiopathic FTMH who underwent I-ILMFS with either IFCG or BBG. Postoperative 6- and 12-month corrected distance visual acuity (CDVA), closure rate, and swept-source optical coherence tomography parameters, including ellipsoid zone (EZ) and external limiting membrane (ELM) mean defect length, central foveal thicknesses (CFT), parafoveal macular thickness (MT), ganglion cells and inner plexiform layer (GCL++) thickness, and peripapillary nerve fiber layer (pRNFL) thickness, were compared. Results: Nineteen eyes were included in the IFCG group and 20 eyes in the BBG group. In all cases a FTMH closure was found. CDVA improved at 6 and 12 months in both groups (p < 0.0005); the increase at 12 months was greater in the BBG group (p = 0.036). EZ and ELM defects did not differ between groups at either follow-up time. CFT at 12 months was greater in the BBG group (p = 0.041). A 12-months compared to 6-months MT decrease was present in both groups (p < 0.01). The GCL++ superior inner sector was thicker in the BBG group at 12 months (p = 0.036), as were the superior outer sector (p = 0.039 and p = 0.027 at 6 and 12 months, respectively) and inferior outer sector (p = 0.011 and p = 0.009 at 6 and 12 months, respectively). Conclusion: In our study BBG in I-ILMFS exhibits better long-term CDVA and retinal thickness than does IFCG, suggesting a lesser toxicity from BBG. These findings support the use of BBG over IFCG in I-ILMFS.

show abstract

“…3 This technique has also been used for myopic macular holes to achieve higher rates of hole closure. 2,[4][5][6][7][8][9][10] The ILM retracting-door technique was recently introduced to treat eyes with myopic macular holes. 11 In this technique, the ILM of highly myopic eyes is peeled from the nasal area to the macular hole.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Optical Coherence Tomographic Imaging During Internal Limiting Membrane Retracting-Door Technique for Macular Hole

Kubo

Inoue

Mahmoud

et al. 2018

Journal of VitreoRetinal Diseases

View full text Add to dashboard Cite

A 44-year-old man noticed a reduction in his vision that our examination showed was due to a myopic macular hole. The internal limiting membrane (ILM) retracting-door technique was used to successfully close the macular hole. A large flap of the ILM was created on the nasal side of the macular hole with the ILM forceps, and it was carried temporally over the macular hole. Unfortunately, the ILM flap shrank and wadded due to contraction of an epiretinal membrane (ERM). Viscoelastic material was injected onto the ILM flap to stabilize it and draped back to cover the macular hole, which was confirmed by intraoperative optical coherence tomography (iOCT). The macular hole was observed to be closed postoperatively, and it was covered with an ERM that gave it a cellophane-like macular reflex. We conclude that iOCT can be helpful in performing the ILM retracting-door technique in complicated cases to control the position of the temporally hinged ILM flap covering a macular hole and also to monitor its position.

show abstract

Surgical Outcomes in Eyes With Extremely High Myopia for Macular Hole Without Retinal Detachment

Abstract: Patients with extremely high myopia obtained anatomical and functional improvements from MH surgery; inverted ILM flap insertion achieved significantly higher primary success rates in MH closure.

Cited by 28 publications

References 16 publications

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques

Infracyanine Green vs. Brilliant Blue G in Inverted Flap Surgery for Large Macular Holes: A Long-Term Swept-Source OCT Analysis

Intraoperative Optical Coherence Tomographic Imaging During Internal Limiting Membrane Retracting-Door Technique for Macular Hole

Contact Info

Product

Resources

About