ILM peeling with ILM flap transposition vs. classic ILM peeling for small and medium macula holes-a prospective randomized trial.

IF 0.2 Q4 OPHTHALMOLOGY

Spektrum der Augenheilkunde Pub Date : 2023-01-01 DOI:10.1007/s00717-022-00515-y

Christoph Leisser, Manuel Ruiss, Caroline Pilwachs, Oliver Findl

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引用次数: 1

Abstract

Background: The aim of the present study was to compare macular hole closure rates of patients with small and medium-sized macular holes who underwent vitrectomy with internal limiting membrane (ILM) peeling combined with ILM flap transposition over the macular hole, compared with classic ILM peeling.

Methods: This prospective randomized trial was designed as a pilot study with two groups: ILM peeling with ILM flap transposition over the macular hole vs. classic ILM peeling.

Results: Among 20 patients recruited, complete analysis could be performed for 16 patients. The macular hole closure rates were 100% in both groups, without significant differences with respect to postsurgical subfoveal hyporeflective zones (p = 1.0, Fisher's exact test), postsurgical visual acuity (p = 0.7, t-test), and postsurgical irregularities of the ellipsoid zone (p = 1.0, Fisher's exact test).

Conclusion: Vitrectomy with ILM peeling combined with ILM flap transposition over the macular hole and classic ILM peeling are both successful methods for the repair of macular holes of small and medium size and are associated with comparable outcomes.

Abstract Image

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一项前瞻性随机试验:ILM瓣转位与经典ILM剥离治疗中小黄斑孔的对比。

背景:本研究的目的是比较玻璃体切除术合并内限制膜(ILM)剥离联合ILM瓣转位在黄斑裂孔上的黄斑裂孔闭合率与经典的ILM剥离的比较。方法:这项前瞻性随机试验被设计为两组的先导研究:ILM剥离与ILM皮瓣转位在黄斑孔与经典ILM剥离。结果:入选的20例患者中，有16例患者可以进行完整的分析。两组黄斑孔闭合率均为100%，术后中央凹下低反射区(p = 1.0,Fisher精确检验)、术后视力(p = 0.7,t检验)、术后椭球区不规则性(p = 1.0,Fisher精确检验)差异无统计学意义。结论:玻璃体切除联合黄斑裂孔上ILM瓣移位与经典的ILM裂孔脱皮均可成功修复中小型黄斑裂孔，且疗效相当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spektrum der Augenheilkunde 医学-眼科学

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： "Spektrum der Augenheilkunde" is an educational journal for ophthalmologists. It is published six times per year and presents reviews, original papers, editorials, case studies and analyses surrounding technical innovations in ophthalmology. Letters to the editor, guest commentaries, book reviews, literature overviews, product information and a congress calendar complete the range of its contents. Thus, "Spektrum der Augenheilkunde" keeps ophthalmologists up-to-date on current developments, both practice-relevant and research-related. The editorial board and its editorial advisors guarantee the high quality of publications and a broad, well-balanced choice of published topics. Topics of interest: Complete range of ophthalmology; Ethical standards; Declaration of Helsinki, Informed consent, Animal rights