Closure of Full-Thickness Macular Holes Associated with Macular Edema with Medical Therapy.

Bevacizumab Carbonic anhydrase inhibitors Intravitreal injections Ketorolac Macular edema Macular hole Nepafenac Prednisolone Spontaneous closure Topical nonsteroidal anti-inflammatory drugs Topical steroids Triamcinolone

Journal

Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
ISSN: 1423-0267
Titre abrégé: Ophthalmologica
Pays: Switzerland
ID NLM: 0054655

Informations de publication

Date de publication:
2022
Historique:
received: 27 08 2020
accepted: 17 03 2021
pubmed: 29 6 2021
medline: 6 5 2022
entrez: 28 6 2021
Statut: ppublish

Résumé

The purpose of this study was to report the closure of macular hole without surgery in 7 cases using medical therapies. The retrospective review of 7 cases of full-thickness macular holes, which closed after medical therapy without surgery. Seven eyes of 7 patients developed full-thickness macular holes, which initially closed on medical therapy without surgery. Six patients were kept on maintenance therapy; 1 recurred and 5 did not develop recurrence. One patient was taken off of maintenance therapy and later developed recurrent macular hole requiring macular hole surgery. Medical therapy to decrease macular edema may facilitate macular hole closure and should be considered, especially for small macular holes with significant edema. Reopening of macular holes may occur after stopping topical maintenance therapy for macular edema, which occurred at 10 weeks and 9 months after maintenance therapy was discontinued or markedly tapered.

Identifiants

pubmed: 34182564
pii: 000516018
doi: 10.1159/000516018
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

179-186

Informations de copyright

© 2021 S. Karger AG, Basel.

Auteurs

Gregg T Kokame (GT)

Division of Ophthalmology, Department of Surgery, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii, USA.
Hawaii Macula and Retina Institute, Aiea, Hawaii, USA.

Mark W Johnson (MW)

Kellogg Eye Center of the University of Michigan School of Medicine, Ann Arbor, Michigan, USA.

Jennifer Lim (J)

Illinois Eye and Ear Infirmary of the University of Chicago College of Medicine, Chicago, Illinois, USA.

Harry W Flynn (HW)

Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.

Talisa de Carlo (T)

Illinois Eye and Ear Infirmary of the University of Chicago College of Medicine, Chicago, Illinois, USA.

Nicolas Yannuzzi (N)

Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.

Edwin H Ryan (EH)

Vitreoretinal Surgery, PA, Minneapolis, Minnesota, USA.

Jase N Omizo (JN)

Hawaii Macula and Retina Institute, Aiea, Hawaii, USA.

Jayanth Sridhar (J)

Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.

Patrick Staropoli (P)

Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.

Brian Goldhagen (B)

Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.

Rebecca Lian (R)

Division of Ophthalmology, Department of Surgery, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii, USA.

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Classifications MeSH