June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Assessment of three different surgical ILM peeling techniques for the treatment of complicated macular holes
Author Affiliations & Notes
  • Jaime Oswaldo Oswaldo Rodríguez Avila
    Asociacion para Evitar la Ceguera en México, México, Naucalpan Edo. de Mex., Mexico
  • Abel Ramirez-Estudillo
    Asociacion para Evitar la Ceguera en México, México, Naucalpan Edo. de Mex., Mexico
  • Virgilio Morales-Canton
    Asociacion para Evitar la Ceguera en México, México, Naucalpan Edo. de Mex., Mexico
  • Sergio Hernandez-Da Mota
    Retina, Cliníca David, Morelia, Mexico
  • Francisco Bejar
    Retina, Cliníca David, Morelia, Mexico
  • Raul Velez-Montoya
    Asociacion para Evitar la Ceguera en México, México, Naucalpan Edo. de Mex., Mexico
  • Footnotes
    Commercial Relationships   Jaime Oswaldo Rodríguez Avila, None; Abel Ramirez-Estudillo, None; Virgilio Morales-Canton, None; Sergio Hernandez-Da Mota, None; Francisco Bejar, None; Raul Velez-Montoya, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 2832. doi:
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      Jaime Oswaldo Oswaldo Rodríguez Avila, Abel Ramirez-Estudillo, Virgilio Morales-Canton, Sergio Hernandez-Da Mota, Francisco Bejar, Raul Velez-Montoya; Assessment of three different surgical ILM peeling techniques for the treatment of complicated macular holes. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2832.

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

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Abstract

Purpose : To assess the anatomical and functional outcome after complete ILM peeling, inverted flap and ILM autograft techniques, in patients with macular holes with poor surgical prognosis

Methods : Prospective, randomized, case series. Surgical-naïve cases of patients with macular hole lasting more than three months, base diameter larger than 500µm or a macular hole index <0.5. All patients underwent pars plana vitrectomy with one of the three ILM peeling techniques

Results : We enrolled 16 consecutive patients (7 conventional, 6 inverted flaps, and 3 autografts). After 4 weeks, with complete ILM peeling 71.3% were closed (95%CI: 59.04-100%); inverted flap: 66.67% (95%CI: 54.07-100%); ILM autograft: 100% (95%CI: 29.24-100%). Only with conventional ILM peeling there was a significant improvement of the visual acuity (p=0.04)

Conclusions : In cases of macular holes with poor anatomical and functional prognosis, the three ILM peeling techniques had similar anatomical outcome. However, the inverted flap and the ILM autograft technique did not improve significantly the visual acuity after a short follow-up

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

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