Comparison of Two Different Techniques in Macular Hole Surgery: 12-month Results of Clinical Practice Makula Deliği Cerrahisinde İki Farklı Tekniğin Karşılaştırılması: 12 Aylık Klinik Uygulama Sonuçları
Medical Journal of Bakirkoy, cilt.20, sa.1, ss.79-84, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 1
- Basım Tarihi: 2024
- Doi Numarası: 10.4274/bmj.galenos.2023.2022.1-13
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Sayfa Sayıları: ss.79-84
- Anahtar Kelimeler: Internal limiting membrane peeling, inverted internal limiting membrane flap, macular hole, optical coherence tomography, visual improvement
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To examine and compare the outcomes of complete internal limiting membrane (ILM) peeling and inverted ILM flap techniques in patients with idiopathic full-thickness macular holes. Methods: Sixteen eyes of 16 patients operated on with the standard complete ILM peeling technique were included in group 1, and 12 eyes of 12 patients who had vitrectomy with the inverted ILM flap technique were included in group 2. Baseline and postoperative month 3, 6, and 12 best-corrected visual acuity (BCVA) data and spectral-domain optical coherence tomography (OCT) images were examined. Macular hole closure, foveal contour formation, ellipsoid zone integrity on OCT images, and BCVA improvement were analyzed. Results: The macular hole closure rate was 62.5% in group 1 and 91.7% in group 2, but the difference between the groups was not significant (p=0.18). An improvement was seen in BCVA after surgery in group 1, but the difference was not significant compared with the pre-operative BCVA (p=0.28). In group 2, the improvement from baseline BCVA at postoperative month 12 was significant (p=0.016). Conclusion: The macular hole closure rate was over 90% in the eyes that were operated on with the inverted ILM flap technique. BCVA was improved after surgery in both groups, and a significant improvement from baseline BCVA was seen at postoperative month 12 with the inverted ILM flap technique.