Evaluation of secondary surgery to enlarge the peeling of the internal limiting membrane following the failed surgery of idiopathic macular holes

  • Authors:
    • Xin Che
    • Fanglin He
    • Linna Lu
    • Dongqing Zhu
    • Xiaofang Xu
    • Xin Song
    • Xianqun Fan
    • Zhiliang Wang
  • View Affiliations

  • Published online on: January 7, 2014     https://doi.org/10.3892/etm.2014.1477
  • Pages: 742-746
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

The aim of the present study was to evaluate the clinical results of pars plana vitrectomy (PPV) combined with the surgical enlargement of internal limiting membrane (ILM) peeling in patients who had previously undergone failed idiopathic macular hole (IMH) surgery. In the study, 134 eyes from 130 IMH patients who had received PPV combined with ILM peeling surgery (2 disk diameters) were analyzed. Within this cohort, 14 eyes had IMHs that were not closed, of which 13 eyes underwent a second surgery involving enlargement of the ILM peeling. The extent of the ILM peeling was increased to the vascular arcades of the posterior fundus in the secondary surgery. Of the 13 eyes that underwent secondary surgery, five were in stage III and nine were in stage IV. The second surgery successfully achieved IMH closure in 61.5% (8/13) of the eyes. The IMH was completely closed following surgery and the logMAR vision increased from 0.98 to 0.84 (P=0.013) in the 8 successfully treated cases. The surgical enlargement of ILM peeling closed the IMHs and improved vision in the majority of patients. In addition, the procedures were safe. Therefore, the results of the present study indicate that enlargement of ILM peeling may be an effective therapy for patients who have previously undergone the failed surgical correction of an IMH.
View Figures
View References

Related Articles

Journal Cover

2014-March
Volume 7 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Che X, He F, Lu L, Zhu D, Xu X, Song X, Fan X and Wang Z: Evaluation of secondary surgery to enlarge the peeling of the internal limiting membrane following the failed surgery of idiopathic macular holes. Exp Ther Med 7: 742-746, 2014
APA
Che, X., He, F., Lu, L., Zhu, D., Xu, X., Song, X. ... Wang, Z. (2014). Evaluation of secondary surgery to enlarge the peeling of the internal limiting membrane following the failed surgery of idiopathic macular holes. Experimental and Therapeutic Medicine, 7, 742-746. https://doi.org/10.3892/etm.2014.1477
MLA
Che, X., He, F., Lu, L., Zhu, D., Xu, X., Song, X., Fan, X., Wang, Z."Evaluation of secondary surgery to enlarge the peeling of the internal limiting membrane following the failed surgery of idiopathic macular holes". Experimental and Therapeutic Medicine 7.3 (2014): 742-746.
Chicago
Che, X., He, F., Lu, L., Zhu, D., Xu, X., Song, X., Fan, X., Wang, Z."Evaluation of secondary surgery to enlarge the peeling of the internal limiting membrane following the failed surgery of idiopathic macular holes". Experimental and Therapeutic Medicine 7, no. 3 (2014): 742-746. https://doi.org/10.3892/etm.2014.1477