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Article: Pars Plana Vitrectomy and Perfluoropropane (C3F8) Tamponade for Retinal Detachment Due to Myopic Macular Hole: A Prognostic Factor Analysis

TitlePars Plana Vitrectomy and Perfluoropropane (C3F8) Tamponade for Retinal Detachment Due to Myopic Macular Hole: A Prognostic Factor Analysis
Authors
Issue Date2006
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ajo
Citation
American Journal Of Ophthalmology, 2006, v. 142 n. 6, p. 938-944.e2 How to Cite?
AbstractPurpose: To determine the prognostic factors associated with anatomical success in the treatment of retinal detachment (RD) due to myopic macular hole by pars plana vitrectomy (PPV) and perfluoropropane (C3F8) gas tamponade. Design: Retrospective, interventional, comparative case series. Methods: In an institutional setting, 57 eyes with myopic macular hole RDs treated by PPV and C3F8 tamponade, with or without concomitant internal limiting membrane (ILM) peeling, endolaser photocoagulation, and/or phacoemulsification, were analyzed. Outcome measures were anatomical success, defined as closure of macular hole with reattachment of the surrounding retina, and postoperative best-corrected visual acuity (BCVA). Results: The mean postoperative follow-up was 26.9 ± 16.5 months. The anatomical success rate after primary PPV and C3F8 tamponade was 63.2%. Regression analysis showed that shorter axial lengths (odds ratio [OR] = 6.73, 95% confidence interval [95% CI] 1.86 to 12.22, P = .010), concomitant ILM peeling (OR 1.59, 95% CI 1.14 to 2.38, P = .013), and shorter duration of macular hole RD (OR 0.81, 95% CI 0.67 to 0.98, P = .033) were associated with a higher anatomical success. The mean pre- and postoperative BCVAs were 1.430 ± 0.273 (range, 0.523 to 1.700) and 1.403 ± 0.271 (range, 0.699 to 1.800) logarithm of minimal angle of resolution units, respectively. The postoperative BCVA was significantly better in eyes with macular hole closure than in eyes without (P = .021). Conclusions: Axial length, concomitant ILM peeling, and duration were important prognostic factors for PPV and C3F8 tamponade in the treatment of myopic macular hole RDs. © 2006 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/85478
ISSN
2015 Impact Factor: 3.831
2015 SCImago Journal Rankings: 2.803
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, RFen_HK
dc.contributor.authorLai, WWen_HK
dc.contributor.authorCheung, BTOen_HK
dc.contributor.authorYuen, CYFen_HK
dc.contributor.authorWong, Then_HK
dc.contributor.authorShanmugam, MPen_HK
dc.contributor.authorLam, DSCen_HK
dc.date.accessioned2010-09-06T09:05:33Z-
dc.date.available2010-09-06T09:05:33Z-
dc.date.issued2006en_HK
dc.identifier.citationAmerican Journal Of Ophthalmology, 2006, v. 142 n. 6, p. 938-944.e2en_HK
dc.identifier.issn0002-9394en_HK
dc.identifier.urihttp://hdl.handle.net/10722/85478-
dc.description.abstractPurpose: To determine the prognostic factors associated with anatomical success in the treatment of retinal detachment (RD) due to myopic macular hole by pars plana vitrectomy (PPV) and perfluoropropane (C3F8) gas tamponade. Design: Retrospective, interventional, comparative case series. Methods: In an institutional setting, 57 eyes with myopic macular hole RDs treated by PPV and C3F8 tamponade, with or without concomitant internal limiting membrane (ILM) peeling, endolaser photocoagulation, and/or phacoemulsification, were analyzed. Outcome measures were anatomical success, defined as closure of macular hole with reattachment of the surrounding retina, and postoperative best-corrected visual acuity (BCVA). Results: The mean postoperative follow-up was 26.9 ± 16.5 months. The anatomical success rate after primary PPV and C3F8 tamponade was 63.2%. Regression analysis showed that shorter axial lengths (odds ratio [OR] = 6.73, 95% confidence interval [95% CI] 1.86 to 12.22, P = .010), concomitant ILM peeling (OR 1.59, 95% CI 1.14 to 2.38, P = .013), and shorter duration of macular hole RD (OR 0.81, 95% CI 0.67 to 0.98, P = .033) were associated with a higher anatomical success. The mean pre- and postoperative BCVAs were 1.430 ± 0.273 (range, 0.523 to 1.700) and 1.403 ± 0.271 (range, 0.699 to 1.800) logarithm of minimal angle of resolution units, respectively. The postoperative BCVA was significantly better in eyes with macular hole closure than in eyes without (P = .021). Conclusions: Axial length, concomitant ILM peeling, and duration were important prognostic factors for PPV and C3F8 tamponade in the treatment of myopic macular hole RDs. © 2006 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ajoen_HK
dc.relation.ispartofAmerican Journal of Ophthalmologyen_HK
dc.rightsAmerican Journal of Ophthalmology. Copyright © Elsevier Inc.en_HK
dc.titlePars Plana Vitrectomy and Perfluoropropane (C3F8) Tamponade for Retinal Detachment Due to Myopic Macular Hole: A Prognostic Factor Analysisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0002-9394&volume=142&spage=938&epage=944&date=2006&atitle=Pars+plana+vitrectomy+and+perfluoropropane+(C3F8)+tamponade+for+retinal+detachment+due+to+myopic+macular+hole+-+a+prognostic+factor+analysisen_HK
dc.identifier.emailLai, WW: wicolai@hku.hken_HK
dc.identifier.authorityLai, WW=rp00531en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ajo.2006.07.056en_HK
dc.identifier.pmid17157579-
dc.identifier.scopuseid_2-s2.0-33845336880en_HK
dc.identifier.hkuros136266en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33845336880&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume142en_HK
dc.identifier.issue6en_HK
dc.identifier.spage938en_HK
dc.identifier.epage944.e2en_HK
dc.identifier.isiWOS:000242671100006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLam, RF=7101916693en_HK
dc.identifier.scopusauthoridLai, WW=7402231098en_HK
dc.identifier.scopusauthoridCheung, BTO=7103294782en_HK
dc.identifier.scopusauthoridYuen, CYF=7101633291en_HK
dc.identifier.scopusauthoridWong, Th=7403531425en_HK
dc.identifier.scopusauthoridShanmugam, MP=7006666535en_HK
dc.identifier.scopusauthoridLam, DSC=35500200200en_HK

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