Τίτλος:
Postoperative eccentric macular holes after vitrectomy and internal limiting membrane peeling
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The purpose of this study was to describe the incidence, clinical characteristics, and outcome of eccentric macular holes presenting after vitrectomy and internal limiting membrane (ILM) peeling for the treatment of macular pathology and discuss the pathogenesis of holes formation. A retrospective, noncomparative, interventional case-series study of five patients who developed eccentric macular holes postoperatively following vitrectomy in 198 consecutive patients who underwent ILM peeling for idiopathic macular hole and epiretinal membrane formation between 2008 and 2015. Five patients (2.5 %) developed full-thickness eccentric macular holes postoperatively. Three patients presented with a single eccentric macular hole, one patient had an eccentric hole after a failed idiopathic macular hole surgery and one patient developed four eccentric macular holes. The mean diameter of the holes was 584 μm (range 206–1317 μm) and the average time of holes formation after vitrectomy was 27.7 weeks (range 1–140 weeks). Postoperative best-corrected visual acuity ranged from “counting fingers” to 20/25. The eyes with the holes distant from the fovea had the best final visual acuity. No further intervention was attempted and no complications occurred. The mean follow-up time was 26.8 months. The postoperative macular holes after vitrectomy and ILM peeling were variable in number, size, and time of appearance but remained stable and were not associated with any complications. The pathogenesis of macular holes is most consistent with contraction of the residual ILM or secondary epimacular proliferation probably stimulated by ILM peeling. © 2016, Springer Science+Business Media Dordrecht.
Συγγραφείς:
Brouzas, D.
Dettoraki, M.
Lavaris, A.
Kourvetaris, D.
Nomikarios, N.
Moschos, M.M.
Περιοδικό:
International Ophthalmology
Εκδότης:
SPRINGER NETHERLANDS
Λέξεις-κλειδιά:
aged; Article; best corrected visual acuity; best final visual acuity; case study; clinical article; controlled study; eccentric macular hole; female; follow up; human; internal limiting membrane peeling; intervention study; male; pathogenesis; postoperative complication; postoperative period; retina macula hole; retina surgery; retrospective study; visual acuity; vitrectomy; adverse effects; basement membrane; epiretinal membrane; Greece; incidence; optical coherence tomography; pathology; postoperative complication; retina macula lutea; Retinal Perforations; time factor; treatment outcome; visual acuity; vitrectomy, Aged; Basement Membrane; Epiretinal Membrane; Female; Follow-Up Studies; Greece; Humans; Incidence; Macula Lutea; Male; Postoperative Complications; Retinal Perforations; Retrospective Studies; Time Factors; Tomography, Optical Coherence; Treatment Outcome; Visual Acuity; Vitrectomy
DOI:
10.1007/s10792-016-0320-6
