The Healing Process and Functional Recovery of Neuroretina after Idiopathic Macular Hole Surgery without Internal Limiting Membrane Reversal Tamponade
Joint Authors
Chen, Haoyu
Zhu, Xinlei
Wang, Jiaxing
Li, Jianan
Huang, Bo
Yan, Hua
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-05
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To investigate the healing process and functional recovery of neuroretina after idiopathic macular hole surgery, as well as analyzing the influencing factors.
Methods.
Thirty-six eyes of 31 patients with full-thickness idiopathic macular hole (IMH) were enrolled in this retrospective study.
All of them were operated using 23-gauge or 25-gauge vitrectomy with inner limiting membrane peeling and air tamponade.
Spectral-domain optical coherence tomography was performed before surgery and after surgery to observe the structural changes of neuroretina.
Results.
Twenty eyes (55.56%) had the macular hole closed at 3 to 5 days after surgery (closed group), beginning from the inner retina based on OCT.
Holes of 16 eyes (44.44%) remained unclosed and progressed to larger holes at 13 to 15 days (t = −2.811, P=0.013) after surgery (unclosed group).
Compared with the eyes in the closed group, the eyes in the unclosed group had significantly larger hole diameter (t = −2.882, P=0.007).
Postoperative BCVA was significantly improved in the closed group (t = 2.573, P=0.019) and not improved in the unclosed group (t = 0.606, P=0.554) at the 6-month follow-up.
Conclusion.
Full-thickness IMHs could achieve anatomic closure 3 to 5 days after surgery with first-step inner retina tissue bridging.
Otherwise, they were not able to achieve hole closure and opened to larger holes about 2 weeks postoperatively.
Macular hole diameter was an important factor affecting the healing of the holes.
The delayed restoration of fovea detachment and ellipsoid area deficiency were responsible for poor vision outcomes after surgery.
American Psychological Association (APA)
Zhu, Xinlei& Wang, Jiaxing& Li, Jianan& Chen, Haoyu& Huang, Bo& Yan, Hua. 2020. The Healing Process and Functional Recovery of Neuroretina after Idiopathic Macular Hole Surgery without Internal Limiting Membrane Reversal Tamponade. Journal of Ophthalmology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1189327
Modern Language Association (MLA)
Zhu, Xinlei…[et al.]. The Healing Process and Functional Recovery of Neuroretina after Idiopathic Macular Hole Surgery without Internal Limiting Membrane Reversal Tamponade. Journal of Ophthalmology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1189327
American Medical Association (AMA)
Zhu, Xinlei& Wang, Jiaxing& Li, Jianan& Chen, Haoyu& Huang, Bo& Yan, Hua. The Healing Process and Functional Recovery of Neuroretina after Idiopathic Macular Hole Surgery without Internal Limiting Membrane Reversal Tamponade. Journal of Ophthalmology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1189327
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1189327