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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. 2014;55(13):311. doi: https://doi.org/.
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Describe using spectral domain-optical coherence tomography (SD-OCT), the microstructural changes after internal limiting membrane (MLI) peeling in the treatment of macular hole.
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. DESIGN: Prospective, longitudinal, descriptive, case series. MAIN OUTCOME MEASURES: The integrity of the photoreceptor inner segment/outer segment (IS/OS) junction, the external limiting membrane (ELM) on SD-OCT images and the BCVA.
9 patients with macular hole closed up. In the first month postoperative BCVA was 0.2 logMAR . Microstructural changes were found in 100 % of patients. ELM complete restoration in 88.8%, IS/OS juntion 22.2 % and interdigitation zone in 11.1 % . At 3 months postoperative BCVA was 0.14. ELM intact in 100%, IS/OS juntion 44.4% , interdigitation zone 33.3 %.
The complete restoration of the ELM and IS/OS juntion predict potential better visual outcomes in the pacientes of macular hole closed up.
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