Anatomic and functional outcomes of three-day face down positioning after idiopathic macular hole surgery
Küçük Resim Yok
Tarih
2013
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Gazi Eye Foundation
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: To evaluate anatomical and functional results of patients with idiopathic macular holes (MH) prospectively, after pars plana vitrectomy (PPV), internal limiting membrane (ILM) peeling, gas endotamponade and postoperative three day prone positioning. Materials and Methods: Sixteen eyes 16 patients with idiopathic MH were enrolled to the study. 23-gauge pars plana vitrectomy, internal limiting membrane peeling and intraocular gas endotamponade injection were performed in all eyes. PPV combined with cataract surgery in phakic cataractous eyes. Three-day prone positioning was recommended to all patients. MH closure, best corrected visual acuity (BCVA), intraocular pressure (IOP) and complications were evaluated postoperatively. Results: Postoperative mean follow-up period was 15.93±10.22 months. The mean age of the patients was 66.68±12.02 (28-81). MH was stage 2 in 3 eyes (18.8%), stage 3 in 3 eyes (18.8%), and stage 4 was in 10 eyes (62.5%). MH was closed in 15 eyes (93.8%) after surgery. Preoperative BCVA was 0.15±0.10 (Snellen) and postoperative BCVA was 0.28±0.26 (p=0.005). Visual improvement was found in 11 patients (68.0%). The mean IOP values were 13.81±1.22 mmHg prior to surgery, and 13.68±1.62 mmHg, 14.06±1.48 mmHg, and 14.12±0.95 mmHg 1 day, 1 month and 3 months after surgery respectively (p>0.05). Conclusion: Successful anatomical and functional results can be obtained in patients with idiopathic MH after PPV, ILM peeling, gas endotamponade injection and postoperative three-day prone positioning. No significant complications were observed after surgery.
Açıklama
Anahtar Kelimeler
Internal limiting membrane peeling, Macular hole, Pars plana vitrectomy, Prone positioning
Kaynak
Retina-Vitreus
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
21
Sayı
1
