June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
MICROSTRUCTURAL MACULAR CHANGES AFTER INTERNAL LIMITING MEMBRANE PEELING OBSERVED IN SPECTRAL DOMIAN OPTICAL COHERENCE TOMOGRAPHY
Author Affiliations & Notes
  • Mariana Flores
    Retina, Hospital Nuestra Señora de la Luz, Gustavo A.Madero, Mexico
  • Carla Perez
    Retina, Hospital Nuestra Señora de la Luz, Gustavo A.Madero, Mexico
  • Footnotes
    Commercial Relationships Mariana Flores, None; Carla Perez, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 5055. doi:
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      Mariana Flores, Carla Perez; MICROSTRUCTURAL MACULAR CHANGES AFTER INTERNAL LIMITING MEMBRANE PEELING OBSERVED IN SPECTRAL DOMIAN OPTICAL COHERENCE TOMOGRAPHY. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):5055.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: Describe using spectral domain-optical coherence tomography (SD-OCT), the microstructural changes after internal limiting membrane (MLI) peeling in the treatment of macular hole.

Methods: Complete ophthalmic examination and SD-OCT preoperatively and also at 1 month and 3 months postoperatively. Vitrectomy and gas tamponade were performed with MLI peeling after staining with brilliant peel.<br /> MAIN OUTCOME MEASURES: The integrity of the ellipsoid portion of the inner segments, the external limiting membrane (ELM) on SD-OCT images and the BCVA.

Results: 29 eyes of 28 patients with macular hole closed up. 23 women 5 men. Mean age 64.12 years. The average BCVA in the 1st postoperative month was 0.35 in all patients. The patients with complete restoration of ELM BCVA was 0.25 logMAR and the patients with no restoration ELM BCVA was 0.625 logMAR the difference between groups were statistically significant (P<0.001). The patients with complete restoration of the ellipsoid portion of the inner segments BCVA was 0.34 logMAR and the patients with no restoration of the ellipsoid portion of the inner segments was 0.36 logMAR the difference between groups were not statistically significant (P>0.05)<br /> The average BCVA in the third postoperative month was 0.35 in all patients The patients with complete restoration of ELM BCVA was 0.13 logMAR and the patients with no restoration ELM BCVA was 0.566 logMAR the difference between groups were statistically significant (P<0.001). The patients with complete restoration of the ellipsoid portion of the inner segments BCVA was 0.10 logMAR and the patients with no restoration of the ellipsoid portion of the inner segments BCVA was 0.23 logMAR the difference between groups were not statistically significant (P>0.05)

Conclusions: The complete restoration of the ELM in the first and third month postoperative can predict potential better visual outcomes in the patients of macular hole closed up

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