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Article: Re-operation of idiopathic full-thickness macular holes after initial surgery with internal limiting membrane peel

TitleRe-operation of idiopathic full-thickness macular holes after initial surgery with internal limiting membrane peel
Authors
Issue Date2011
Citation
British Journal of Ophthalmology, 2011, v. 95, n. 11, p. 1564-1567 How to Cite?
AbstractBackground/aims: A retrospective consecutive case series to evaluate the efficacy of re-operation in patients with persistent or recurrent idiopathic full-thickness macular hole after initial surgery with internal limiting membrane peel (ILM). Methods: 491 patients underwent surgery for fullthickness macular hole from January 2004 to November 2007. Fifty-five patients either did not close or reopened during the follow-up period. Thirty patients with initial ILM peel underwent repeat surgery involving vitrectomy, enlargement of ILM rhexis and gas tamponade. Results: Anatomical closure rate was 88.8% for primary surgery and 46.7% (14/30) for re-operation. There was a statistically significant improvement in overall best corrected visual acuity (BCVA) from re-operation baseline BCVA (p=0.02) within 1 year. For holes that did not close after the second surgery, visual acuity did not worsen. Conclusion: Re-operation has a reduced success rate of anatomical closure. However, BCVA is statistically significantly improved from re-operation baseline, so even though we cannot return vision to pre-pathological baseline, re-operation can improve on this new baseline.
Persistent Identifierhttp://hdl.handle.net/10722/228126
ISSN
2015 Impact Factor: 3.036
2015 SCImago Journal Rankings: 1.873

 

DC FieldValueLanguage
dc.contributor.authorD'Souza, Mark J J-
dc.contributor.authorChaudhary, Varun-
dc.contributor.authorDevenyi, Robert-
dc.contributor.authorKertes, Peter J.-
dc.contributor.authorLam, Wai Ching-
dc.date.accessioned2016-08-01T06:45:15Z-
dc.date.available2016-08-01T06:45:15Z-
dc.date.issued2011-
dc.identifier.citationBritish Journal of Ophthalmology, 2011, v. 95, n. 11, p. 1564-1567-
dc.identifier.issn0007-1161-
dc.identifier.urihttp://hdl.handle.net/10722/228126-
dc.description.abstractBackground/aims: A retrospective consecutive case series to evaluate the efficacy of re-operation in patients with persistent or recurrent idiopathic full-thickness macular hole after initial surgery with internal limiting membrane peel (ILM). Methods: 491 patients underwent surgery for fullthickness macular hole from January 2004 to November 2007. Fifty-five patients either did not close or reopened during the follow-up period. Thirty patients with initial ILM peel underwent repeat surgery involving vitrectomy, enlargement of ILM rhexis and gas tamponade. Results: Anatomical closure rate was 88.8% for primary surgery and 46.7% (14/30) for re-operation. There was a statistically significant improvement in overall best corrected visual acuity (BCVA) from re-operation baseline BCVA (p=0.02) within 1 year. For holes that did not close after the second surgery, visual acuity did not worsen. Conclusion: Re-operation has a reduced success rate of anatomical closure. However, BCVA is statistically significantly improved from re-operation baseline, so even though we cannot return vision to pre-pathological baseline, re-operation can improve on this new baseline.-
dc.languageeng-
dc.relation.ispartofBritish Journal of Ophthalmology-
dc.titleRe-operation of idiopathic full-thickness macular holes after initial surgery with internal limiting membrane peel-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1136/bjo.2010.195826-
dc.identifier.pmid21355018-
dc.identifier.scopuseid_2-s2.0-80054888040-
dc.identifier.volume95-
dc.identifier.issue11-
dc.identifier.spage1564-
dc.identifier.epage1567-
dc.identifier.eissn1468-2079-

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