Short-term results of surgical treatment in large idiopathic macular hole cases

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dc.contributor.authorDoğruya S.
dc.contributor.authorKarabacak D.D.
dc.contributor.authorAltınışık M.
dc.contributor.authorDelibay Y.
dc.contributor.authorKayıkçıoğlu O.C.
dc.contributor.authorKayıkçıoğlu Ö.R.
dc.date.accessioned2024-07-22T08:01:01Z
dc.date.available2024-07-22T08:01:01Z
dc.date.issued2024
dc.description.abstractPurpose: To evaluate results of the surgical treatment for large stage (Stage 3 and 4) idiopathic macular hole cases with and without ILM flap technique. Methods: Sixty eyes of 60 patients diagnosed with idiopathic macular hole (MH) were included in the study. Complete ophthalmologic examination and SD-OCT examination were performed in all eyes. MH stages, MH base diameter, height and closest distance were measured quantitatively. Postoperative and 3 months visits were evaluated. Results: The mean age of the cases was 65.0 ± 8.0 (range 30–84) years, there were 31 (51.7%) female and 29 (48.3%) male patients with a mean follow-up period of 18.1 ± 16.7 (range 3–63) months. The mean best corrected visual acuity recorded at preoperative and third month control visits were 0.89 ± 0.40(preoperative) logMAR, 0.82 ± 0.60(3 month) logMAR (p < 0.05). The mean MH index was 0.48 ± 0.16, the closest hole distance was 517.86 ± 210.89 µm and mean basal diameter of holes was 947.78 ± 361.90 µm and the average height was 448.93 ± 79.80 microns. There was no statistically significant difference between anatomic results of macular hole surgery with (n = 22) and without (n = 38) flap in terms of hole closure (86.4% vs. 92.1% p > 0.05). In 90% (54 cases) of the cases, closure was observed after the first surgery. Two eyes that failed macular hole surgery were reoperated. In one of these eyes, anatomical success was obtained with macular hole massage and mechanical cytumulation. However, anatomical success could not be achieved in the other eye. Conclusıon: In the treatment of large macular holes, pars plana vitrectomy, internal limiting membrane peeling with/without flap and gas tamponade demonstrated high anatomical and functional success. © The Author(s), under exclusive licence to Springer Nature B.V. 2024.
dc.identifier.DOI-ID10.1007/s10792-024-03121-w
dc.identifier.issn01655701
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/11274
dc.language.isoEnglish
dc.publisherSpringer Science and Business Media B.V.
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectEye
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectPostoperative Period
dc.subjectRetinal Perforations
dc.subjectSurgical Flaps
dc.subjectTomography, Optical Coherence
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectbest corrected visual acuity
dc.subjectclinical evaluation
dc.subjectclinical feature
dc.subjectcontrolled study
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectidiopathic disease
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectophthalmology
dc.subjectpostoperative period
dc.subjectpreoperative period
dc.subjectquantitative analysis
dc.subjectretina macula hole
dc.subjectretina surgery
dc.subjectretrospective study
dc.subjectspectral domain optical coherence tomography
dc.subjectsurgical flaps
dc.subjectsurgical technique
dc.subjectchild
dc.subjecteye
dc.subjectoptical coherence tomography
dc.subjectpreschool child
dc.subjectretina tear
dc.titleShort-term results of surgical treatment in large idiopathic macular hole cases
dc.typeArticle

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