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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)
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
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
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)
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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