Inverted internal limiting membrane-flap technique for large macular hole: a microperimetric study
In: International Journal of Retina and Vitreous, Jg. 5 (2019), Heft 1, S. 1-10
Online
academicJournal
Zugriff:
Abstract Background Inverted Internal Limiting Membrane (ILM)-flap technique would seem to lead to higher closure rate and better visual acuity than traditional procedure with ILM peeling for the treatment of large macular hole (LMH). Visual acuity recovery does not reveal many other functional changes related to surgical approach. Our purpose was to evaluate macular function and morphology over a 1-year follow-up after inverted ILM-flap technique for LMH by using microperimetry in order to predict visual prognosis. Methods This study was a prospective unrandomized single-center study. 23 eyes of 22 patients with idiopathic LMH, with a minimum diameter ranging from 400 to 1000 μm, were included. All patients underwent vitrectomy with inverted ILM-flap technique and gas tamponade. We analyzed macular hole closure rate and functional outcomes including best-corrected visual acuity (BCVA), macular sensitivity (MS) at central 12° and central macular sensitivity (CMS) at central 4°, and fixation behavior as bivariate contour ellipse area (BCEA, degrees2) at 68%, 95%, and 99% of fixation points measured by microperimeter, over a follow-up of 12 months. Results The macular hole closure rate was 98%. The BCVA improved from 20/230 (Logmar, 1.06 ± 0.34) to 20/59 (logMar, 0.47 ± 0.45) at last follow-up (p
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Inverted internal limiting membrane-flap technique for large macular hole: a microperimetric study
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Autor/in / Beteiligte Person: | Sborgia, Giancarlo ; Niro, Alfredo ; Sborgia, Alessandra ; Albano, Valeria ; Tritto, Tiziana ; Sborgia, Luigi ; Pastore, Valentina ; Donghia, Rossella ; Giancipoli, Ermete ; Recchimurzo, Nicola ; Boscia, Francesco ; Alessio, Giovanni |
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Zeitschrift: | International Journal of Retina and Vitreous, Jg. 5 (2019), Heft 1, S. 1-10 |
Veröffentlichung: | BMC, 2019 |
Medientyp: | academicJournal |
ISSN: | 2056-9920 (print) |
DOI: | 10.1186/s40942-019-0195-6 |
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