Cirugía del agujero macular con y sin liberación de la membrana limitante interna

  1. J Castro Navarro
  2. C González Castaño
Aldizkaria:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Argitalpen urtea: 2003

Alea: 78

Zenbakia: 3

Orrialdeak: 159-164

Mota: Artikulua

DOI: 10.4321/S0365-66912003000300007 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Archivos de la Sociedad Española de Oftalmologia

Garapen Iraunkorreko Helburuak

Laburpena

Purpose: To determine if internal limiting membrane (ILM) peeling in idiopathic macular hole surgery improves anatomic and functional results. Methods: Comparative retrospective, nonrandomized study, of 50 eyes from 48 patients with macular hole, Stage III an IV of the Gass Classification. All of them were operated with the same technique. In 25 eyes the ILM was peeled (group 1). In the other 25 eyes the ILM was not peeled (group 2). We compare the anatomic and functional outcome as well as the complications in both groups. Results: The overall anatomic success rate in the 50 eyes was 92% (46 eyes). In group 1 the anatomic success rate was 100% and 84% in group 2 (p=0.018). The visual acuity improved, one or more Snellen lines, in 34 of the 50 operated eyes (68%). In group 1 the visual acuity improved in 20 of the 25 eyes (80%) and in group 2 in 14 of the 25 eyes (56%) (p=0.034). The most relevant complications included retinal detachment, two cases in group 1 and one case in group 2, cataract and retinal pigment epithelium changes. Conclusions: In our experience, internal limiting membrane peeling in macular hole surgery improves the anatomic and functional success, but not the final visual acuity.

Erreferentzia bibliografikoak

  • Gass, JD. (1987). Stereoscopic atlas of macular diseases: Diagnosis and treatment. 3. CV Mosby. St. Louis.
  • Ezra, E, Wells, JA, Gray, RH, Kinsella, FM, Orr, GM, Grego, J. (1998). Incidence of idiopathic full thickness macular holes in fellow eyes: A 5-year prospective natural history study. Ophthalmology. 105. 353-359
  • Kelly, NE, Wendel, RT. (1991). Vitreous surgery for idiopathic macular holes: Results for a pilot study. Arch Ophthalmol. 109. 654-659
  • Yoon, HS, Brooks, HL, Capone, AJr, L’Hemault, NL, Grossniklaus, HE. (1996). Ultrastructural features of tissue removed during idiopathic macular hole surgery. Am J Ophthalmol. 122. 67-75
  • Corcóstegui, B, Adán, A, García-Arumí, J, Mateo, C, Nieto, I. (1999). Cirugía vitreorretiniana: Indicaciones y técnicas. Tecnimedia Editorial. Madrid.
  • Olsen, TW, Stermberg, PJr, Capone, AJr, Martin, DF, Lim, JI, Grossniklaus, HE. (1998). Macular hole surgery using thrombin-activated fibrinogen and selective removal of the internal limiting membrane. Retina. 18. 322-329
  • Smiddy, WE, Feuer, W, Cordahi, G. (2001). Internal limiting membrane peeling in macular hole surgery. Ophthalmology. 108. 1471-1476
  • Da Mata, AP, Burk, SE, Riemann, CD, Rosa, RHJr, Snyder, ME, Petersen, MR. (2001). Indocyanine green-assisted peeling of the retinal internal limiting membrane during vitrectomy surgery for macular hole repair. Ophthalmology. 108. 1187-1192
  • Brooks HL, Jr. (2000). Macular hole surgery with and without internal limiting membrane peeling. Ophthalmology. 107. 1939-1948
  • Glaser, BM, Michels, RG, Kuppermann, BD, Sjaarda, RN, Pena, RA. (1992). Transforming growth factor-beta 2 for the treatment of full-thickness macular holes: A prospective ramdomized study. Ophthalmology. 99. 1162-1172
  • Liggett, PE, Skolik, SA, Horio, B, Satio, Y, Alfaro, V, Mieler, W. (1995). Human autologous serum for de treatment of full-thickness macular holes. Ophthalmology. 102. 1071-1076
  • García Arumí, J, Salvador, F, Mateo, C, Corcóstegui, B. (1996). Vitrectomía y suero autólogo como tratamiento del agujero macular idiopático. Arch Soc Esp Oftalmol. 71. 415-422
  • Blumenkranz, MS, Ohana, E, Shaikh, S, Chang, S, Coll, G, Morse, LS. (2001). Adjuvant methods in macular hole surgery: intraoperative plasma-thrombin mixture and postoperative fluid-gas exchange. Ophthalmic Surg Lasers. 32. 198-207
  • Benson, WE, Cruickshanks, KC, Fong, DS, Williams, GA, Bloone, MA, Frambach, DA. (2001). Surgical management of macular holes: a report by the American Academy of Ophthalmology. Ophthalmology. 108. 1328-1335
  • Sippy, BD, Engelbrecht, NE, Hubbard, GB, Moriarty, SE, Jiang, S, Aaberg, TMJr. (2001). Indocyanine green effect on cultured human retinal pigment epithelial cells: implication for macular hole surgery. Am J Ophthalmol. 132. 433-435
  • Engelbrecht, NE, Frceman, J, Stermberg, PJr, Aaberg, TMSr, Aaberg, TMJr, Martin, DF. (2002). Retinal pigment epithelial changes after macular hole surgery with indocyanine green-assisted internal limiting membrane peeling. Am J Ophthalmol. 133. 89-94
  • Haritoglou, C, Gass, CA, Schaumberger, M, Ehrt, O, Gandorfer, A, Kampik, A. (2001). Macular changes after peeling of the internal limiting membrane in macular hole surgery. Am J Ophthalmol. 132. 363-368
  • Gaudric, A, Haouchine, B, Bassin, P, Paques, M, Blain, P, Erginay, A. (1999). Macular hole formation: New data provided by Optical Coherente Tomography. Arch Ophthalmol. 117. 744-751
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