The Role of Vitreoretinal Surgery in the Treatment of Posttraumatic Macular Hole

García‐Arumí, José; Corcóstegui, Borja; Cavero, L; Sararols, Laura

doi:10.1097/00006982-199709000-00003

Cited by 51 publications

(47 citation statements)

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“…[1][2][3][4] Some reports 5 have described spontaneous closure of traumatic macular holes in children and young adults.…”

Section: Avorable Results With Primary Closure Rates Ofmentioning

confidence: 99%

“…indirect viewing system that provides the surgeon with a wide field of view. 1 The image, although of sufficiently wide field, is inverted, which makes manipulation of instruments inside the eye hazardous. Reinverting the image has been achieved by incorporating a prism system into the microscope 2 that has undergone refinement and modification.…”

Section: Avorable Results With Primary Closure Rates Ofmentioning

confidence: 99%

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Long-term results following pars plana vitrectomy with platelet concentrate in pediatric patients with traumatic macular hole

Wachtlin

Jandeck

Potthöfer

et al. 2003

American Journal of Ophthalmology

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67% to 85% were achieved in adults with traumatic macular hole (MH) by pars plana vitrectomy and gas instillation with or without adjuvants. 1-4 Some reports 5 have described spontaneous closure of traumatic macular holes in children and young adults.The purpose of this report is to describe the long-term clinical course in children following treatment of traumatic macular hole with pars plana vitrectomy and platelet concentrate.Four male pediatric patients underwent pars plana vitrectomy with platelet concentrate and SF6 gas tamponade for traumatic macular hole repair after a blunt trauma.The boys had a mean age of 13.2 years (range, 10 -15 years). A stage 3 macular hole according to Gass with a diameter of at least 300 m was diagnosed in all patients.The mean follow-up was 35.2 months (range, 27-51 months).The surgical technique included a standard three-port pars plana vitrectomy, peeling of the epiretinal membrane including the internal limiting membrane (ILM), injecting a drop of freshly obtained autologous platelet concentrate (4ϫ10 9 thrombocytes/ml) into the macular hole, and instilling 25% SF6 gas (Figure 1). 6 The individual patients are presented in Table 1. The mean interval between the diagnosis and the operation was 3 months (range, 1-5 months).Primary closure was achieved by a single intervention in all patients and all patients had a marked visual improvement of Ն three lines (three to seven lines) after surgery. The surgically achieved visual improvement remained stable during follow-up.

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“…[1][2][3][4] Some reports 5 have described spontaneous closure of traumatic macular holes in children and young adults.…”

Section: Avorable Results With Primary Closure Rates Ofmentioning

confidence: 99%

Section: Avorable Results With Primary Closure Rates Ofmentioning

confidence: 99%

Long-term results following pars plana vitrectomy with platelet concentrate in pediatric patients with traumatic macular hole

Wachtlin

Jandeck

Potthöfer

et al. 2003

American Journal of Ophthalmology

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“…The results of surgery for traumatic macular hole closure are favorable. 119,120 The hyaloideoretinopathies include a number of diseases with much overlap in the clinical and sometimes genetic characteristics. Most of these diseases share common dystrophic retinal and vitreal changes; however, they sometimes differ by the predominance of one of these changes.…”

Section: 88mentioning

confidence: 99%

Pathology and pathogenesis of retinal detachment

Ghazi

Green

2002

Eye

227

160

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Retinal detachment, separation of the neurosensory retina from the underlying retinal pigment epithelium, is a sight threatening condition that is considered one of the few ocular emergencies. The literature is enormously rich in studies that focused on different aspects of this disease process. Yet certain aspects remain largely unanswered. We briefly review major aspects of retinal detachment and discuss various important contributions in this field, focussing mainly on the pathogenesis of and predisposing factors to retinal detachment, and on the pathologic changes that occur following its development and following various surgical procedures currently used in its management.

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“…In 1995, some authors (5) described a 92% surgical closure rate and a final visual acuity of 20/40 or better in 12 eyes with TMH. Two years later, another group described a series of 14 cases where a 93% closure rate was observed after surgery and vision improved at least four Snellen lines in every closed hole (7) . In 1999, a retrospective case series of 16 eyes with TMH revealed a 94% closure rate and a vision of 20/40 or better in 38% of the eyes (9) .…”

Section: Discussionmentioning

confidence: 99%

“…Besides the mechanism of TMH formation, the decision of whether to operate or simply observe these TMH is also controversial. Several retrospective case series have shown positive outcomes of pars plana vitrectomy for TMH (3,(5)(6)(7)(8)(9)(10)(11) . On the other hand, many cases of spontaneous closure of TMH have been reported in the literature (12)(13)(14)(15)(16)(17)(18)(19) .…”

Section: Abstract Introductionmentioning

confidence: 99%

Management of traumatic macular holes: case report

Brasil¹

2008

Arq. Bras. Oftalmol.

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The Role of Vitreoretinal Surgery in the Treatment of Posttraumatic Macular Hole

Cited by 51 publications

References 0 publications

Long-term results following pars plana vitrectomy with platelet concentrate in pediatric patients with traumatic macular hole

Long-term results following pars plana vitrectomy with platelet concentrate in pediatric patients with traumatic macular hole

Pathology and pathogenesis of retinal detachment

Management of traumatic macular holes: case report

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