Combined phacoemulsification, 23‑gauge pars plana vitrectomy with internal limiting membrane peeling and gas tamponade for patients with coexisting idiopathic macular hole and age‑associated cataract

  • Authors:
    • Qingmin Ma
    • Fang Fan
    • Zhihua Zhao
    • Zhiyang Jia
  • View Affiliations

  • Published online on: November 13, 2018     https://doi.org/10.3892/etm.2018.6963
  • Pages: 525-530
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Abstract

The aim of the present study was to assess the curative effect of combined phacoemulsification, 23‑gauge pars plana vitrectomy with Brilliant blue G‑assisted limiting membrane peeling and gas tamponade in patients with coexisting idiopathic macular hole (IMH) and age‑associated cataract. A total of 21 consecutive patients (21 eyes) with coexisting IMH and age‑associated cataract were enrolled in the study. All patients were treated by 23‑gauge microincision vitrectomy with internal limiting membrane peeling, gas tamponade and combined phacoemulsification. The pre‑operative MH diameter, MH index and best‑corrected visual acuity (BCVA), as well as events of post‑operative MH closure and complications were recorded and analyzed. Anatomic closure of the MH was achieved in 19 eyes (90.4%) with a single surgery. The LogMAR BCVA value at 1 month after surgery and the final follow‑up visit was significantly lower than the baseline value (P=0.0036 and P=0.0015, respectively). A significant correlation was identified between the MH index and the post‑operative LogMAR BCVA (r=0.869; P<0.001). The combined technique applied in the present study produced favorable anatomic and functional results for patients with coexisting IMH and age‑associated cataracts. The pre‑operative MH size measured by optical coherence tomography may serve as a predictive factor for the LogMAR BCVA value following MH surgery.
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January-2019
Volume 17 Issue 1

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

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Spandidos Publications style
Ma Q, Fan F, Zhao Z and Jia Z: Combined phacoemulsification, 23‑gauge pars plana vitrectomy with internal limiting membrane peeling and gas tamponade for patients with coexisting idiopathic macular hole and age‑associated cataract. Exp Ther Med 17: 525-530, 2019
APA
Ma, Q., Fan, F., Zhao, Z., & Jia, Z. (2019). Combined phacoemulsification, 23‑gauge pars plana vitrectomy with internal limiting membrane peeling and gas tamponade for patients with coexisting idiopathic macular hole and age‑associated cataract. Experimental and Therapeutic Medicine, 17, 525-530. https://doi.org/10.3892/etm.2018.6963
MLA
Ma, Q., Fan, F., Zhao, Z., Jia, Z."Combined phacoemulsification, 23‑gauge pars plana vitrectomy with internal limiting membrane peeling and gas tamponade for patients with coexisting idiopathic macular hole and age‑associated cataract". Experimental and Therapeutic Medicine 17.1 (2019): 525-530.
Chicago
Ma, Q., Fan, F., Zhao, Z., Jia, Z."Combined phacoemulsification, 23‑gauge pars plana vitrectomy with internal limiting membrane peeling and gas tamponade for patients with coexisting idiopathic macular hole and age‑associated cataract". Experimental and Therapeutic Medicine 17, no. 1 (2019): 525-530. https://doi.org/10.3892/etm.2018.6963