LONG-TERM SURGICAL OUTCOMES AFTER VITRECTOMY FOR SYMPTOMATIC LAMELLAR MACULAR HOLES
- Authors
- Lee, Sung J.; Jang, Sun Y.; Moon, Darachui; Choi, Kyung S.; Jung, Gi Y.
- Issue Date
- Oct-2012
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- internal limiting membrane peeling; lamellar macular hole; membranectomy; surgical treatment; vitrectomy
- Citation
- Retina, v.32, no.9, pp 1743 - 1748
- Pages
- 6
- Journal Title
- Retina
- Volume
- 32
- Number
- 9
- Start Page
- 1743
- End Page
- 1748
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/14797
- DOI
- 10.1097/IAE.0b013e3182551c3c
- ISSN
- 0275-004X
1539-2864
- Abstract
- Purpose: To determine long-term surgical findings and outcomes after vitrectomy for symptomatic lamellar macular holes. Methods: This is a retrospective, consecutive, interventional case series. Sixteen patients (31 eyes) with lamellar macular holes and central visual loss participated in the study. All patients underwent 3-port pars plana vitrectomy with membranectomy and/or internal limiting membrane peeling and gas tamponade under the care of one author. Best-corrected visual acuity and optical coherence tomography appearance were determined preoperatively and postoperatively. Results: Final visual acuity improved more than 2 lines postoperatively in 18 eyes (58.1%) and decreased in 2 eyes (6.5%) leading to a mean gain of 0.18 logarithm of the minimum angle of resolution visual acuity during the mean follow-up period of 39 +/- 24 months (12-85 months). Twenty-eight eyes (90.3%) improved or normalized in foveal appearance on postoperative optical coherence tomography images of the macula, 1 eye remained unchanged, and 1 eye (3.2%) had chronic cystoid macular edema, 1 eye was unchanged, and 1 eye showed recurrence of lamellar macular hole. Conclusion: In patients with central visual loss from lamellar macular holes, vitrectomy, membranectomy, and/or internal limiting membrane peeling and gas tamponade appear to have a beneficial effect for a mean of 3 years. RETINA 32:1743-1748, 2012
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Collections - College of Medicine > Department of Ophthalmology > 1. Journal Articles
- College of Medicine > Department of Ophthalmology > 1. Journal Articles
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