A Review of Surgical Techniques for the Treatment of Large Idiopathic Macular Holes.
Abstract
[BACKGROUND AND OBJECTIVE] This meta-analysis reviews available surgical techniques for the repair of macular holes (MHs) >650 μm.
[MATERIAL AND METHODS] PubMed search criteria were used to identify 17 studies outlining surgical techniques for the repair of MHs >650 μm. Thirteen of the studies identified individual cases and were further analyzed based on MH classification. Success was defined as functional improvement and anatomic closure of the hole.
[RESULTS] Two hundred and six MHs were included in this study. There were clinically significant differences between the repair of primary and refractory MHs. Autologous retinal transplant resulted in a visual acuity improvement of -0.48 ± 0.36 log-MAR, whereas an inverted internal limiting membrane (ILM) flap and pedicle ILM flap resulted in visual acuity improvements of -0.15 ± 0.17 and -0.14 ± 0.91 logMAR, respectively.
[CONCLUSION] An inverted or pedicle ILM flap appears more effective for primary MHs, whereas refractory MHs benefit from a free flap. .
[MATERIAL AND METHODS] PubMed search criteria were used to identify 17 studies outlining surgical techniques for the repair of MHs >650 μm. Thirteen of the studies identified individual cases and were further analyzed based on MH classification. Success was defined as functional improvement and anatomic closure of the hole.
[RESULTS] Two hundred and six MHs were included in this study. There were clinically significant differences between the repair of primary and refractory MHs. Autologous retinal transplant resulted in a visual acuity improvement of -0.48 ± 0.36 log-MAR, whereas an inverted internal limiting membrane (ILM) flap and pedicle ILM flap resulted in visual acuity improvements of -0.15 ± 0.17 and -0.14 ± 0.91 logMAR, respectively.
[CONCLUSION] An inverted or pedicle ILM flap appears more effective for primary MHs, whereas refractory MHs benefit from a free flap. .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 3 | |
| 시술 | free flap
|
피판재건술 | dict | 1 | |
| 해부 | Macular
|
scispacy | 1 | ||
| 해부 | membrane
|
scispacy | 1 | ||
| 약물 | [BACKGROUND AND OBJECTIVE
|
scispacy | 1 | ||
| 약물 | [MATERIAL AND
|
scispacy | 1 | ||
| 약물 | [RESULTS] Two
|
scispacy | 1 | ||
| 질환 | MHs
→ macular holes
|
C0024441
Macular Holes
|
scispacy | 1 | |
| 질환 | primary MHs
|
scispacy | 1 | ||
| 기타 | retinal
|
scispacy | 1 | ||
| 기타 | pedicle ILM flap
|
scispacy | 1 |
MeSH Terms
Basement Membrane; Free Tissue Flaps; Humans; Retinal Perforations; Retrospective Studies; Tomography, Optical Coherence; Vitrectomy
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- Endodontic implications of hypercementosis: A systematic review of anatomical challenges and therapeutic strategies.
- Breast plastic surgery in perimenopausal and postmenopausal women: Menopause-informed counseling on screening, safety, and long-term breast health.
- Application of the SCIA-Pure Skin Perforator Flap in Bilateral Upper Eyelid Reconstruction: A Case Report and Review of the Literature.
- Free flap reconstruction of a cast-related pressure ulcer in a pediatric patient with spinal muscular atrophy.
- Characterization of Trimmed Nerve Morphology Using High-Resolution Imaging: Comparison of Three Surgical Instruments.