Macular holes with minimal diameter greater than 650 µm close in 85% of cases after vitrectomy and ILM peeling with visual benefit.
Journal
Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986
Informations de publication
Date de publication:
06 Sep 2024
06 Sep 2024
Historique:
received:
10
11
2023
accepted:
08
08
2024
revised:
19
07
2024
medline:
10
9
2024
pubmed:
10
9
2024
entrez:
9
9
2024
Statut:
aheadofprint
Résumé
To describe the postoperative outcomes of eyes with primary full-thickness macular holes (MH) greater than 650 μm. Retrospective, monocentric, consecutive case series. Patients with primary MH operated at Lariboisière Hospital, Paris, France. Records of patients with MH with a minimum horizontal diameter greater than 650 μm that underwent primary surgery with internal limiting membrane (ILM) peeling (complete or with inverted ILM flap) between January 2010 and January 2022 were reviewed. Postoperative MH closure rate and visual acuity. 74 eyes of 73 patients met the inclusion criteria. The mean minimum horizontal diameter was 777 ± 108 µm (650-1114). It ranged between 650 and 800 µm in 40 eyes (54%) and was ≧ 800 µm in 34 eyes (46%). The closure rate was 77% (57/74) after primary surgery and was significantly higher in MH between 650 and 800 µm, than in MH ≧ 800 µm (87.5% versus 64.7%, p = 0.02). In the 58/74 eyes in which conventional ILM peeling was performed, closure rate was 74.1% (43/58), significantly higher in MH ranging between 650 and 800 µm than in MH ≧ 800 µm (84.8% versus 60.0%, p = 0.03). In closed MH, 50/64 (78%) eyes achieved a VA gain ≥0.2 logMAR (3 lines), and 14 (21.9%) eyes a final BCVA ≥ 0.3 logMAR. MH surgery with conventional ILM peeling allowed closed MH ≧ 650 μm and < 800 μm with a success rate close to 85% that decreased in larger MH. A significant visual improvement was achieved after MH closure, even in MH ≧ 800 μm.
Identifiants
pubmed: 39251889
doi: 10.1038/s41433-024-03302-y
pii: 10.1038/s41433-024-03302-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.
Références
Meuer SM, Myers CE, Klein BEK, Swift MK, Huang Y, Gangaputra S, et al. The epidemiology of vitreoretinal interface abnormalities as detected by spectral-domain optical coherence tomography. Ophthalmology. 2015;122:787–95.
doi: 10.1016/j.ophtha.2014.10.014
pubmed: 25556116
Kelly NE, Wendel RT. Vitreous surgery for idiopathic macular holes: results of a pilot study. Retina. 1991;11:447.
doi: 10.1097/00006982-199111040-00026
Tadayoni R, Gaudric A, Haouchine B, Massin P. Relationship between macular hole size and the potential benefit of internal limiting membrane peeling. Br J Ophthalmol. 2006;90:1239–41.
doi: 10.1136/bjo.2006.091777
pubmed: 16809385
pmcid: 1857449
Duker JS, Kaiser PK, Binder S, de Smet MD, Gaudric A, Reichel E, et al. The international vitreomacular traction study group classification of vitreomacular adhesion, traction, and macular hole. Ophthalmology. 2013;120:2611–9.
doi: 10.1016/j.ophtha.2013.07.042
pubmed: 24053995
Ch’ng SW, Patton N, Ahmed M, Ivanova T, Baumann C, Charles S, et al. The Manchester large macular hole study: is it time to reclassify large macular holes? Am J Ophthalmol. 2018;195:36–42.
doi: 10.1016/j.ajo.2018.07.027
pubmed: 30071212
Yamashita T, Sakamoto T, Terasaki H, Iwasaki M, Ogushi Y, Okamoto F, et al. Best surgical technique and outcomes for large macular holes: retrospective multicentre study in Japan. Acta Ophthalmol. 2018;96:e904–10.
doi: 10.1111/aos.13795
pubmed: 29671948
Michalewska Z, Michalewski J, Adelman RA, Nawrocki J. Inverted internal limiting membrane flap technique for large macular holes. Ophthalmology. 2010;117:2018–25.
doi: 10.1016/j.ophtha.2010.02.011
pubmed: 20541263
Rezende FA, Ferreira BG, Rampakakis E, Steel DH, Koss MJ, Nawrocka ZA, et al. Surgical classification for large macular hole: based on different surgical techniques results: the CLOSE study group. Int J Retina Vitr. 2023;9:4.
doi: 10.1186/s40942-022-00439-4
Ip MS, Baker BJ, Duker JS, Reichel E, Baumal CR, Gangnon R, et al. Anatomical outcomes of surgery for idiopathic macular hole as determined by optical coherence tomography. Arch Ophthalmol. 2002;120:29.
doi: 10.1001/archopht.120.1.29
pubmed: 11786054
Ullrich S. Macular hole size as a prognostic factor in macular hole surgery. Br J Ophthalmol. 2002;86:390–3.
doi: 10.1136/bjo.86.4.390
pubmed: 11914205
pmcid: 1771090
Schulze-Bonsel K, Feltgen N, Burau H, Hansen L, Bach M. Visual acuities “hand motion” and “counting fingers” can be quantified with the Freiburg visual acuity test. Investig Opthalmology Vis Sci. 2006;47:1236.
doi: 10.1167/iovs.05-0981
Yuguchi T, Ogura S, Hirano Y, Suzuki N, Yasukawa T, Ogura Y. Autologous posterior capsule flap transplantation in the management of refractory macular hole in a pseudophakic eye. Retin Cases Brief Rep. 2023;17:85–8.
doi: 10.1097/ICB.0000000000001128
pubmed: 33492073
The BEAVRS Macular hole outcome group, Steel DH, Donachie PHJ, Aylward GW, Laidlaw DA, Williamson TH, et al. Factors affecting anatomical and visual outcome after macular hole surgery: findings from a large prospective UK cohort. Eye. 2021;35:316–25.
doi: 10.1038/s41433-020-0844-x
Shukla D, Kalliath J. Internal limiting membrane peeling for large macular hole: tailoring the rhexis to the shape of the hole. Indian J Ophthalmol. 2022;70:182.
doi: 10.4103/ijo.IJO_906_21
pubmed: 34937234
Gu C, Qiu Q. Inverted internal limiting membrane flap technique for large macular holes: a systematic review and single-arm meta-analysis. Graefes Arch Clin Exp Ophthalmol. 2018;256:1041–9.
doi: 10.1007/s00417-018-3956-2
pubmed: 29532170
Rizzo S, Tartaro R, Barca F, Caporossi T, Bacherini D, Giansanti F. Internal limiting membrane peeling versus inverted flap technique for treatment of full-thickness macular holes: a comparative study in a large series of patients. Retina. 2018;38:S73–8.
doi: 10.1097/IAE.0000000000001985
pubmed: 29232338
Kannan NB, Kohli P, Parida H, Adenuga OO, Ramasamy K. Comparative study of inverted internal limiting membrane (ILM) flap and ILM peeling technique in large macular holes: a randomized-control trial. BMC Ophthalmol. 2018;18:177.
doi: 10.1186/s12886-018-0826-y
pubmed: 30029621
pmcid: 6054750
Shen Y, Lin X, Zhang L, Wu M. Comparative efficacy evaluation of inverted internal limiting membrane flap technique and internal limiting membrane peeling in large macular holes: a systematic review and meta-analysis. BMC Ophthalmol. 2020;20:14.
doi: 10.1186/s12886-019-1271-2
pubmed: 31914954
pmcid: 6950886
Bottoni F, Parrulli S, Mete M, D’Agostino I, Cereda M, Cigada M, et al. Large idiopathic macular hole surgery: remodelling of outer retinal layers after traditional internal limiting membrane peeling or inverted flap technique. Int J Ophthalmol. 2020;243:334–41.
Iwasaki M, Ando R, Aoki S, Miyamoto H. Restoration process of the outer retinal layers after surgical macular hole closure. Retina. 2022;42:313–20.
doi: 10.1097/IAE.0000000000003323
pubmed: 34723901
Bolo KA, Chang S. Broad internal limiting membrane peeling with adjunctive plasma–thrombin for repair of large macular holes: a retrospective case series. Eur J Ophthalmol. 2021;31:1338–44
Zhang H, Li Y, Chen G, Han F, Jiang W. Human amniotic membrane graft for refractory macular hole: a single-arm meta-analysis and systematic review. J Fr Ophtalmol. 2023;46:276–86.
doi: 10.1016/j.jfo.2022.07.001
pubmed: 36739260