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Titolo:
Macular hole surgery without routine membrane excision or use of adjuvants
Autore:
Byhr, E; Lindblom, B;
Indirizzi:
Sahlgrens Univ Hosp, Dept Ophthalmol, S-41345 Gothenburg, Sweden SahlgrensUniv Hosp Gothenburg Sweden S-41345 S-41345 Gothenburg, Sweden
Titolo Testata:
ACTA OPHTHALMOLOGICA SCANDINAVICA
fascicolo: 4, volume: 78, anno: 2000,
pagine: 451 - 455
SICI:
1395-3907(200008)78:4<451:MHSWRM>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
VISUAL-FIELD LOSS; PARS-PLANA VITRECTOMY; VITREOUS SURGERY; AUTOLOGOUS SERUM; COMPLICATIONS; TAMPONADE; STAGE-3; DEFECT;
Keywords:
macular hole; internal limiting membrane; scanning laser ophthalmoscopy; vitreous surgery; gas tamponade;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Byhr, E Sahlgrens Univ Hosp, Dept Ophthalmol, S-43180 Molndal, Sweden Sahlgrens Univ Hosp Molndal Sweden S-43180 43180 Molndal, Sweden
Citazione:
E. Byhr e B. Lindblom, "Macular hole surgery without routine membrane excision or use of adjuvants", ACT OPHTH S, 78(4), 2000, pp. 451-455

Abstract

Purpose: To present results of macular hole surgery without adjunctive treatment or routine membrane dissection, but with a long duration tamponade. Methods: Fifty-one consecutive eyes underwent surgery with vitrectomy. Membrane peeling was performed only when traction was obvious. Pure perfluoropropane gas was injected as a tamponade followed by prone positioning for two weeks. All eyes were examined with scanning laser ophthalmoscopy (SLO) before and after surgery. Results: The macular hole was closed successfully in 48 eyes (94%) after one procedure. Visual acuity improved to 0.50 or more in 18 eyes (35%), Improvement of two or more lines was achieved in 35 eyes (69%), Two eyes developed retinal detachments and two eyes showed post-operative visual field defects previously reported after macular hole surgery. Conclusion: In this series the results and complication rates compare favourably with other reports of macular hole surgery. However, in contrast to many previous studies, membrane peeling was not done. The extent and long duration of the gas tamponade was thought to be important for the surgical success.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 16:56:49