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International Ophthalmology

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01-12-2024 | Vitrectomy | Original Paper

Macular hole surgery follow-up with spectral domain-optical coherence tomography-guided facedown posturing

Authors: Zeynep Eylul Ercan, Sezin Akca Bayar, Rengin Aslihan Kurt, Imren Akkoyun, Gursel Yilmaz

Published in: International Ophthalmology | Issue 1/2024

Abstract

Purpose

The main treatment for macular hole (MH) is pars plana vitrectomy, with or without internal limiting membrane (ILM) peeling, followed by gas tamponade and face-down positioning (FDP). This study aims to present the anatomical and visual outcomes following MH repair with optical coherence tomography (OCT)-guided FDP.

Methods

Thirty-two patients who underwent surgery for idiopathic MH were enrolled. The requirement for the prone position was lifted for those with MH closure observed under gas on postoperative day one OCT. Patients with unclosed MHs were instructed to maintain FDP until the 3rd day. Best-corrected visual acuity at preoperative, postoperative 1st month, and the last visit, closure time post-surgery, duration of prone position, and surgical success rate were recorded.

Results

Among the patients, 21 underwent phacovitrectomy + ILM peeling + gas tamponade, while 11 had vitrectomy + ILM peeling + gas tamponade. On postoperative day one, 28 out of 32 MHs closed, with 3 closures on day 3 and one on day 5. There were 18 stage two (56.3%), 13 stage three (40.6%) and 1 stage four (3.1%) MHs. The mean minimum MH diameter was 381.75 ± 68.07 (min 260–max 517) microns. All patients with MH closure time over postoperative day one had non-combined vitrectomy instead of phacovitrectomy. No late complications were observed.

Conclusions

OCT-guided FDP approach yields excellent closure rates with no late complications and ensures good patient comfort.

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Title: Macular hole surgery follow-up with spectral domain-optical coherence tomography-guided facedown posturing
Authors: Zeynep Eylul Ercan
Sezin Akca Bayar
Rengin Aslihan Kurt
Imren Akkoyun
Gursel Yilmaz
Publication date: 01-12-2024
Publisher: Springer Netherlands
Keywords: Vitrectomy
Peeling
Published in: International Ophthalmology / Issue 1/2024
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-024-03110-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Macular hole surgery follow-up with spectral domain-optical coherence tomography-guided facedown posturing

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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