April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Decreased Retinal Sensitivity After Macular Hole Surgery With Internal Limiting Membrane Peeling
Author Affiliations & Notes
  • Ivana Svorenova
    Department of Ophthalmology, Hopital Lariboisiere APHP, Paris, Paris, France
  • Ali Erginay
    Department of Ophthalmology, Hopital Lariboisiere APHP, Paris, Paris, France
  • Peter Strmen
    Department of Ophthalmology, Medical Faculty, Comenius University, Bratislava, Slovakia
  • Alain Gaudric
    Department of Ophthalmology, Hopital Lariboisiere APHP, Paris, Paris, France
  • Pascale Massin
    Department of Ophthalmology, Hopital Lariboisiere APHP, Paris, Paris, France
  • Ramin Tadayoni
    Department of Ophthalmology, Hopital Lariboisiere APHP, Paris, Paris, France
  • Footnotes
    Commercial Relationships  Ivana Svorenova, None; Ali Erginay, None; Peter Strmen, None; Alain Gaudric, None; Pascale Massin, None; Ramin Tadayoni, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 4465. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Ivana Svorenova, Ali Erginay, Peter Strmen, Alain Gaudric, Pascale Massin, Ramin Tadayoni; Decreased Retinal Sensitivity After Macular Hole Surgery With Internal Limiting Membrane Peeling. Invest. Ophthalmol. Vis. Sci. 2011;52(14):4465.

      Download citation file:


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

      ×
  • Supplements
Abstract

Purpose: : To compare the retinal sensitivity and occurrence absolute or relative scotomata found by microperimetry after closure of idiopathic macular hole with or without internal limiting membrane (ILM) peeling.

Methods: : In 16 eyes combined Spectral OCT/SLO topography and microperimetry (OPKO/OTI, Miami, USA) was performed 1 to 120 months after closure of an idiopathic macular hole. In 8 eyes ILM was peeled, in 7 eyes was not peeled, and in 1 eye the closure of the macular hole was spontaneous. All patients received an ophthalmologic examination, color fundus photography and OCT + microperimetry performed by combined Spectral OCT/SLO. A customized microperimetry pattern with 29 measurement points was used. Results are presented as mean ± standard deviation.

Results: : Postoperative microperimetry defects were significantly more frequent after ILM peeling than without ILM peeling: 11.3 ± 6.6 points with retinal sensitivity less than 10 dB in the group of patients with ILM peeling vs. 2.9 ± 4.6 in the group of patients without ILM peeling (p=0.0093). The average sensitivity in dB was also lower after ILM peeling: 9.80 ± 2.35 dB in the group of patients with ILM peeling vs. 13.19 ± 2.92 in the group of patients without ILM peeling (p=0.0209).

Conclusions: : We had shown that ILM peeling results in discreet but detectable anatomical alterations of the retinal: Dissociated Optic Nerve Fiber Layer (DONFL). Here, the results of our study show significantly lower retinal sensitivity and higher incidence of scotomata in eyes after idiopathic macular hole surgery with ILM peeling compared to macular holes closed without peeling. A randomized study is needed to confirm these results. If confirmed this should lead to a more strict selection of techniques and patients in which ILM should be peeled.

Keywords: imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • macula/fovea • vitreoretinal surgery 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×