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Kunyong Xu, Eduardo Navajas; Spectral domain optical coherence tomography guided facedown posturing versus 1 week facedown posturing after idiopathic full thickness macular hole surgery. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):1235.
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© ARVO (1962-2015); The Authors (2016-present)
To compare idiopathic full thickness macular hole (FTMH) closure rates between spectral domain optical coherence tomography (SD-OCT) guided facedown posturing and conventional 1 week facedown posturing.
Consecutive patients who underwent pars plana vitrectomy, membrane peeling with indocyanine green dye, and C3F8 gas tamponade for idiopathic FTMH between July 2013 and September 2014 were included. For the SD-OCT guided group, SD-OCT was performed first day after surgery. If the FTMH was closed, the patient could assume any position but lying supine for 1 week. If the FTMH was not closed on the first postoperative day, SD-OCT was performed daily until the FTMH closed or for up to 1 week. If the hole closed or 1 week elapsed, the patient was asked to stop positioning. The control group positioned for 1 week after surgery and had SD-OCT at 1 month to confirm closure.
Twenty nine eyes of 28 patients were included, 7 eyes in the SD-OCT guided group and 22 eyes in the control group. The mean follow up for the SD-OCT guided and control group was 118.9 days and 193.5 days, respectively. FTMH closure rate for both the SD-OCT guided and control group was 100%. Mean time for FTMH closure in the SD-OCT group was 1.3 days. There was no statistical difference in postoperative VA at the last visit between the SD-OCT guided group (0.47± 0.25 LogMAR) and control group (0.52 ± 0.40 LogMAR) (p=0.7764). No statistically significant correlation was found between FTMH basal diameter and the VA at the last visit (r=0.36, p=0.0519, Spearman correlation coefficient).
This study showed no difference in FTMH closure rates and postoperative VA between SD-OCT guided facedown posturing and conventional 1 week facedown posturing.
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