Single night postoperative prone posturing in idiopathic macular hole surgery.

Hdl Handle:
http://hdl.handle.net/10147/207979
Title:
Single night postoperative prone posturing in idiopathic macular hole surgery.
Affiliation:
Department of Ophthalmology, Waterford Regional Hospital, Waterford - Ireland.
Citation:
Eur J Ophthalmol. 2011 Aug 1:0. doi: 10.5301/ejo.5000039.
Journal:
European journal of ophthalmology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207979
DOI:
10.5301/ejo.5000039
PubMed ID:
21928260
Abstract:
Purpose. To evaluate the role of postoperative prone posturing for a single night in the outcome of trans pars plana vitrectomy (TPPV) with internal limiting membrane (ILM) peel and 20% perfluoroethane (C2F6) internal tamponade for idiopathic macular hole. Methods. This prospective trial enrolled 14 eyes in 14 consecutive patients with idiopathic macular hole. All eyes underwent TPPV with vision blue assisted ILM peeling with and without phacoemulsification and intraocular lens (IOL) for macular hole. Intraocular gas tamponade (20% C2F6) was used in all cases with postoperative face-down posturing overnight and without specific posturing afterwards. LogMAR visual acuity, appearance by slit-lamp biomicroscopy, and ocular coherence tomography (OCT) scans were compared preoperatively and postoperatively to assess outcome. Results. Among 14 eyes recruited, all eyes were phakic; 50% of patients underwent concurrent phacoemulsification with IOL. The macular holes were categorized preoperatively by OCT appearance, 4 (28.57%) were stage 2, 7 (50%) were stage 3, and 3 (21.43%) were stage 4. Mean macular hole size was 0.35 disk diameters. Symptoms of macular hole had been present for an average of 6.5 months. All holes (100%) were closed 3 and 6 months postoperatively. Mean visual acuity (logMAR) was improved to 0.61 at 3 months and was stable at 6 months after the surgery. None of the eyes had worse vision postoperatively. Conclusions. Vitrectomy with ILM peeling and 20% C2F6 gas with a brief postoperative 1 night prone posturing regimen is a reasonable approach to achieve anatomic closure in idiopathic macular hole. Concurrent cataract extraction did not alter outcomes and was not associated with any additional complications.
Language:
ENG
ISSN:
1724-6016 (Electronic); 1120-6721 (Linking)

Full metadata record

DC FieldValue Language
dc.date.accessioned2012-02-01T10:53:09Z-
dc.date.available2012-02-01T10:53:09Z-
dc.date.issued2012-02-01T10:53:09Z-
dc.identifier.citationEur J Ophthalmol. 2011 Aug 1:0. doi: 10.5301/ejo.5000039.en_GB
dc.identifier.issn1724-6016 (Electronic)en_GB
dc.identifier.issn1120-6721 (Linking)en_GB
dc.identifier.pmid21928260en_GB
dc.identifier.doi10.5301/ejo.5000039en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207979-
dc.description.abstractPurpose. To evaluate the role of postoperative prone posturing for a single night in the outcome of trans pars plana vitrectomy (TPPV) with internal limiting membrane (ILM) peel and 20% perfluoroethane (C2F6) internal tamponade for idiopathic macular hole. Methods. This prospective trial enrolled 14 eyes in 14 consecutive patients with idiopathic macular hole. All eyes underwent TPPV with vision blue assisted ILM peeling with and without phacoemulsification and intraocular lens (IOL) for macular hole. Intraocular gas tamponade (20% C2F6) was used in all cases with postoperative face-down posturing overnight and without specific posturing afterwards. LogMAR visual acuity, appearance by slit-lamp biomicroscopy, and ocular coherence tomography (OCT) scans were compared preoperatively and postoperatively to assess outcome. Results. Among 14 eyes recruited, all eyes were phakic; 50% of patients underwent concurrent phacoemulsification with IOL. The macular holes were categorized preoperatively by OCT appearance, 4 (28.57%) were stage 2, 7 (50%) were stage 3, and 3 (21.43%) were stage 4. Mean macular hole size was 0.35 disk diameters. Symptoms of macular hole had been present for an average of 6.5 months. All holes (100%) were closed 3 and 6 months postoperatively. Mean visual acuity (logMAR) was improved to 0.61 at 3 months and was stable at 6 months after the surgery. None of the eyes had worse vision postoperatively. Conclusions. Vitrectomy with ILM peeling and 20% C2F6 gas with a brief postoperative 1 night prone posturing regimen is a reasonable approach to achieve anatomic closure in idiopathic macular hole. Concurrent cataract extraction did not alter outcomes and was not associated with any additional complications.en_GB
dc.language.isoENGen_GB
dc.titleSingle night postoperative prone posturing in idiopathic macular hole surgery.en_GB
dc.contributor.departmentDepartment of Ophthalmology, Waterford Regional Hospital, Waterford - Ireland.en_GB
dc.identifier.journalEuropean journal of ophthalmologyen_GB
dc.description.provinceMunster-

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