Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCT
AIM: To evaluate the efficacy of pars plana vitrectomy combined with internal limiting membrane(ILM)insertion for the treatment of refractory macular holes(MH)by spectral-domain optical coherence tomography(SD-OCT). METHODS: Retrospective analysis was conducted in 17 patients(17 eyes)with refractory...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2021-10-01
|
Series: | Guoji Yanke Zazhi |
Subjects: | |
Online Access: | http://ies.ijo.cn/cn_publish/2021/10/202110032.pdf |
id |
doaj-830400aef1f045e0a60997bff3da361c |
---|---|
record_format |
Article |
spelling |
doaj-830400aef1f045e0a60997bff3da361c2021-09-16T14:50:37ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232021-10-0121101820182410.3980/j.issn.1672-5123.2021.10.32202110032Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCTSi-Tuo Liang0Chui-Pu Kong1Xin Zhang2Cui-Yu Zhang3Jun Qiang4Xiao-Juan Hu5Hua Zhao6Cangzhou Aier Eye Hospital, Cangzhou 061000, Hebei Province, ChinaCangzhou Aier Eye Hospital, Cangzhou 061000, Hebei Province, ChinaCangzhou Aier Eye Hospital, Cangzhou 061000, Hebei Province, ChinaCangzhou Aier Eye Hospital, Cangzhou 061000, Hebei Province, ChinaCangzhou Aier Eye Hospital, Cangzhou 061000, Hebei Province, ChinaCangzhou Aier Eye Hospital, Cangzhou 061000, Hebei Province, ChinaCangzhou Aier Eye Hospital, Cangzhou 061000, Hebei Province, ChinaAIM: To evaluate the efficacy of pars plana vitrectomy combined with internal limiting membrane(ILM)insertion for the treatment of refractory macular holes(MH)by spectral-domain optical coherence tomography(SD-OCT). METHODS: Retrospective analysis was conducted in 17 patients(17 eyes)with refractory MH from July 2019 to December 2020. All patients were treated with pars plana vitrectomy combined with ILM insertion. Preoperative and postoperative best corrected visual acuity(BCVA)were compared. Quantified evaluation of the postoperative macular restoration was performed by SD-OCT. RESULTS: The widths of ellipsoid zone disruption were 839.00-1577.50μm, with an average of 1182.90±226.68μm. During the follow-up period(3-12mo), 17 cases achieved successful closure(100%), and no recurrence was seen. Postoperative BCVA was significantly improved compared with preoperative(P<0.01). The widths of external limiting membrane disruption and ellipsoid zone disruption were smaller gradually at 1wk and 3mo after surgery compared with preoperative(all P<0.01). But the continuity was still not restored. The thickness of the central fovea of macula(within 1mm diameter range)at 1wk and 3mo after surgery decreased significantly compared with preoperative(all P<0.01).CONCLUSION: Pars plana vitrectomy combined with ILM insertion proves to be effective to achieve anatomical and functional improvement in the treatment of refractory MH. SD-OCT has important clinical value in the diagnosis and postoperative follow-up evaluation of refractory MH.http://ies.ijo.cn/cn_publish/2021/10/202110032.pdfinternal limiting membrane insertionspectral-domain optical coherence tomographyrefractory macular holevitrectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Si-Tuo Liang Chui-Pu Kong Xin Zhang Cui-Yu Zhang Jun Qiang Xiao-Juan Hu Hua Zhao |
spellingShingle |
Si-Tuo Liang Chui-Pu Kong Xin Zhang Cui-Yu Zhang Jun Qiang Xiao-Juan Hu Hua Zhao Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCT Guoji Yanke Zazhi internal limiting membrane insertion spectral-domain optical coherence tomography refractory macular hole vitrectomy |
author_facet |
Si-Tuo Liang Chui-Pu Kong Xin Zhang Cui-Yu Zhang Jun Qiang Xiao-Juan Hu Hua Zhao |
author_sort |
Si-Tuo Liang |
title |
Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCT |
title_short |
Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCT |
title_full |
Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCT |
title_fullStr |
Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCT |
title_full_unstemmed |
Efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by SD-OCT |
title_sort |
efficacy of internal limiting membrane insertion in the treatment of refractory macular holes evaluated by sd-oct |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
Guoji Yanke Zazhi |
issn |
1672-5123 |
publishDate |
2021-10-01 |
description |
AIM: To evaluate the efficacy of pars plana vitrectomy combined with internal limiting membrane(ILM)insertion for the treatment of refractory macular holes(MH)by spectral-domain optical coherence tomography(SD-OCT). METHODS: Retrospective analysis was conducted in 17 patients(17 eyes)with refractory MH from July 2019 to December 2020. All patients were treated with pars plana vitrectomy combined with ILM insertion. Preoperative and postoperative best corrected visual acuity(BCVA)were compared. Quantified evaluation of the postoperative macular restoration was performed by SD-OCT. RESULTS: The widths of ellipsoid zone disruption were 839.00-1577.50μm, with an average of 1182.90±226.68μm. During the follow-up period(3-12mo), 17 cases achieved successful closure(100%), and no recurrence was seen. Postoperative BCVA was significantly improved compared with preoperative(P<0.01). The widths of external limiting membrane disruption and ellipsoid zone disruption were smaller gradually at 1wk and 3mo after surgery compared with preoperative(all P<0.01). But the continuity was still not restored. The thickness of the central fovea of macula(within 1mm diameter range)at 1wk and 3mo after surgery decreased significantly compared with preoperative(all P<0.01).CONCLUSION: Pars plana vitrectomy combined with ILM insertion proves to be effective to achieve anatomical and functional improvement in the treatment of refractory MH. SD-OCT has important clinical value in the diagnosis and postoperative follow-up evaluation of refractory MH. |
topic |
internal limiting membrane insertion spectral-domain optical coherence tomography refractory macular hole vitrectomy |
url |
http://ies.ijo.cn/cn_publish/2021/10/202110032.pdf |
work_keys_str_mv |
AT situoliang efficacyofinternallimitingmembraneinsertioninthetreatmentofrefractorymacularholesevaluatedbysdoct AT chuipukong efficacyofinternallimitingmembraneinsertioninthetreatmentofrefractorymacularholesevaluatedbysdoct AT xinzhang efficacyofinternallimitingmembraneinsertioninthetreatmentofrefractorymacularholesevaluatedbysdoct AT cuiyuzhang efficacyofinternallimitingmembraneinsertioninthetreatmentofrefractorymacularholesevaluatedbysdoct AT junqiang efficacyofinternallimitingmembraneinsertioninthetreatmentofrefractorymacularholesevaluatedbysdoct AT xiaojuanhu efficacyofinternallimitingmembraneinsertioninthetreatmentofrefractorymacularholesevaluatedbysdoct AT huazhao efficacyofinternallimitingmembraneinsertioninthetreatmentofrefractorymacularholesevaluatedbysdoct |
_version_ |
1717378164295991296 |