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https://www.readbyqxmd.com/read/29326854/macular-buckling-surgery-for-retinal-detachment-associated-with-macular-hole-in-high-myopia-eye
#1
Kenan Sönmez, Ali Keleş
A 68-year-old woman presented to our clinic with a 1-month history of central scotoma and visual loss in her right eye. The best corrected visual acuity (BCVA) was hand motion in her right eye. Fundus examination showed myopic chorioretinal degeneration in association with posterior staphyloma and the retina was slightly elevated throughout the macula. Optical coherence tomography (OCT) revealed retinal detachment involving the posterior pole with a macular hole and staphyloma. The patient underwent pars plana vitrectomy, internal limiting membrane peeling, macular buckling, and perfluoropropane gas tamponade...
December 2017: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/29325389/-development-of-en-face-optical-coherence-tomography-and-its-application-in-ocular-fundus-diseases
#2
Y Zhou, M Wang
Optical coherence tomography (OCT) is able to obtain the cross-sectional image of the fundus noninvasively and quickly. The cross-sectional image in vivo almost matches the histological section of the retina. OCT has become the most important imaging tool in ophthalmology. Based on the latest OCT technology, en face OCT is a new imaging technique that reveals the structure of retinal and choroidal sections approximately paralleled to the retina surface. Compared to the conventional OCT, en face OCT provides more comprehensive information and makes more accurate diagnosis and assessment of the prognosis...
December 11, 2017: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29324594/intraoperative-and-postoperative-complications-in-phacovitrectomy-for-epiretinal-membrane-and-macular-hole-a-clinical-audit-of-1000-consecutive-eyes
#3
Mark A P Fajgenbaum, James E Neffendorf, Roger S Wong, David A H Laidlaw, Tom H Williamson
PURPOSE: The aim of this study was to report the intraoperative and postoperative complications of phacovitrectomy for epiretinal membrane (ERM) and macular hole (MH). METHODS: This was a retrospective audit of 1,052 phacovitrectomy operations (410 for ERM and 642 for MH) by the same surgical team between 1998 and 2017. Outcome measures included rates of intraoperative anterior segment and posterior segment complications such as posterior capsule rupture and retinal breaks...
January 10, 2018: Retina
https://www.readbyqxmd.com/read/29315126/recurrent-opening-and-closure-of-macular-hole-after-pars-plana-vitrectomy-for-rhegmatogenous-retinal-detachment
#4
Ece Ozdemir, Sengul Ozdek
PURPOSE: To report a case of full-thickness macular hole formation and closure twice after pars plana vitrectomy for macula-off rhegmatogenous retinal detachment. METHODS: Case report. RESULTS: A 45-year-old woman with a macula-off rhegmatogenous retinal detachment underwent uncomplicated pars plana vitrectomy with silicone oil tamponade, which was removed 3 months postoperatively. A full-thickness macular hole developed spontaneously 18 months after silicone oil removal, concurrently with the formation of epiretinal membrane and perifoveal cystoid changes...
January 5, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29303907/macular-hole-hydrodissection-surgical-technique-for-the-treatment-of-persistent-chronic-and-large-macular-holes
#5
Tina Felfeli, Efrem D Mandelcorn
PURPOSE: To present a new technique, macular hole hydrodissection, that increases the likelihood of closure for challenging macular holes (MHs) with multiple risk factors. METHODS: A retrospective review of all consecutive eyes with idiopathic Stage 3 and 4 MHs that were either persistent (failed previous vitrectomy surgery), chronic (symptoms of central vision loss of ≥2 years or a clinical diagnosis for ≥1 year), and/or large (aperture diameter of ≥400 μm), having undergone the macular hole hydrodissection surgical technique between January 1, 2014, and May 1, 2017, from an institutional practice setting was conducted...
January 4, 2018: Retina
https://www.readbyqxmd.com/read/29300247/the-current-surgical-management-of-large-recurrent-or-persistent-macular-holes
#6
Alex L C Tam, Peng Yan, Nicola Y Gan, Wai-Ching Lam
PURPOSE: To evaluate the current surgical options available for the management of large (>400 μm), recurrent, or persistent macular holes (MHs). METHODS: A review of the literature was performed, focusing on the epidemiology, pathophysiology, diagnosis, and surgical treatments of large, recurrent, or persistent MHs. Based on this review, a comprehensive overview was provided regarding the topic of large, recurrent, or persistent MHs and focused on recent surgical management updates...
January 3, 2018: Retina
https://www.readbyqxmd.com/read/29276228/retinal-nerve-fiber-layer-defect-and-paracentral-scotoma-after-internal-limiting-membrane-peeling-with-a-nitinol-loop
#7
Ryo Matoba, Yuki Morizane, Shuhei Kimura, Shinji Toshima, Fumio Shiraga
Internal limiting membrane (ILM) peeling is an important maneuver in vitrectomy for macular holes (MHs). A nitinol loop is a surgical instrument designed to create an edge on the ILM and peel the ILM safely and consistently. The effect of using a nitinol loop for ILM peeling on the retina is not clear. We report here on a case of an idiopathic full-thickness MH in an adult woman, in whom retinal damage was revealed after her ILM was peeled using a nitinol loop.
December 2017: Acta Medica Okayama
https://www.readbyqxmd.com/read/29275341/qualitative-and-quantitative-assessment-of-posterior-segment-optical-coherence-tomography-images-using-standard-photos-the-liwan-eye-study
#8
Sean K Wang, Xinxing Guo, Ou Xiao, Yanxian Chen, Ran Liu, Wenyong Huang, Mingguang He
BACKGROUND/AIMS: To develop a standardised grading scheme, using standard photos, for spectral-domain ocular coherence tomography (SD-OCT) images of the posterior eye and evaluate the interobserver agreement among trained ophthalmologists in identifying pathological changes. METHODS: Subjects were recruited from Liwan District, Guangzhou, with SD-OCT data collection from June 2013 to November 2013 as part of 10-year follow-up visits from the Liwan Eye Study. All subjects underwent SD-OCT imaging of the macula with scanning lines analysed by two ophthalmologists to assess for the presence of 12 different posterior segment lesions...
December 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29259898/clinical-and-experimental-study-on-angiopoietin-like-protein-8-associated-with-proliferative-diabetic-retinopathy
#9
Chang-Xia Dong, Cai-Ping Song, Chun-Ping Zhang, Mei Dong, Xiu-Rong Gong, He-Ying Gao, Hong Wang
AIM: To confirm the role of angiopoietin-like protein 8 (Angptl 8) in proliferative diabetic retinopathy (PDR). METHODS: The sera and aqueous humor of 10 PDR patients and 10 non-diabetic retinopathy (NDR) patients (idiopathic macular hole patients) were collected and the expression of Angptl 8 was detected by enzyme linked immune-sorbent assay (ELISA). Experimental diabetes mice model was induced with streptozotocin. The expression of glycosylated hemoglobin and Angptl 8 in sera was detected...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29219961/measurement-of-full-thickness-macular-hole-size-using-en-face-optical-coherence-tomography
#10
E Philippakis, M Legrand, M El Sanharawi, A Erginay, A Couturier, R Tadayoni
PurposeTo assess the feasibility and interest of measuring macular hole (MH) size using en face optical coherence tomography (OCT) compared with manual diameter measurements on B-scans.MethodsAmong our previously published series of 100 patients operated for primary MH, patients whose images were acquired with Cirrus 5000 HD-OCT (Carl Zeiss Meditec) with a quality signal strength >5/10 were included. Three segmentations (internal limiting membrane, horizontal, and retinal pigment epithelium (RPE)) were compared for obtaining the most appropriate en face image...
December 8, 2017: Eye
https://www.readbyqxmd.com/read/29210941/combined-autologous-transplantation-of-neurosensory-retina-retinal-pigment-epithelium-and-choroid-free-grafts
#11
Barbara Parolini, Dilraj S Grewal, Sajish J Pinackatt, Andrea Baldi, Attilio Di Salvatore, Gianluca Besozzi, Alessandro Finzi, Daniele Cardillo, Tamer H Mahmoud
PURPOSE: To evaluate the feasibility and initial functional and anatomical outcomes of transplanting a full-thickness free graft of choroid and retinal pigment epithelium (RPE), along with neurosensory retina in advanced fibrosis and atrophy associated with end-stage exudative age-related macular degeneration with and without a concurrent refractory macular hole. METHODS: During vitrectomy, an RPE-choroidal and neurosensory retinal free graft was harvested in nine eyes of nine patients...
November 23, 2017: Retina
https://www.readbyqxmd.com/read/29210940/internal-limiting-membrane-peeling-in-macular-hole-surgery-why-when-and-how
#12
Irini P Chatziralli, Panagiotis G Theodossiadis, David H W Steel
PURPOSE: To review the current rationale for internal limiting membrane (ILM) peeling in macular hole (MH) surgery and to discuss the evidence base behind why, when, and how surgeons peel the ILM. METHODS: Review of the current literature. RESULTS: Pars plana vitrectomy is an effective treatment for idiopathic MH, and peeling of the ILM has been shown to improve closure rates and to prevent postoperative reopening. However, some authors argue against ILM peeling because it results in a number of changes in retinal structure and function and may not be necessary in all cases...
November 23, 2017: Retina
https://www.readbyqxmd.com/read/29209516/subretinal-fluid-application-to-close-a-refractory-full-thickness-macular-hole
#13
Carsten H Meyer, Robert Borny, Nicole Horchi
Background: To close a refractory full thickness macular hole (FTMH) by adjacent subretinal fluid application to release the elastic retina from the retinal pigment epithelium (RPE). Case presentation: A 83 years old patient presented an old FTMH with a diameter of 1444 μm. After confirming intraoperatively the complete release of the epiretinal membrane around the FTMH, we installed 3 small subretinal blebs around the hole, to release the adjacent retina from the RPE...
2017: International Journal of Retina and Vitreous
https://www.readbyqxmd.com/read/29183023/the-recovery-of-microvascular-status-evaluated-by-optical-coherence-tomography-angiography-in-patients-after-successful-macular-hole-surgery
#14
Sibel Demirel, Mehmet Fatih Kağan Değirmenci, Serdar Bilici, Özge Yanik, Figen Batıoğlu, Emin Özmert, Numan Alp
PURPOSE: The aim of this study was to evaluate the optical coherence tomography angiography (OCTA) features of patients who underwent successful macular hole (MH) surgery. METHODS: Nineteen patients who underwent surgery in a single eye due to MH and 13 healthy subjects as a control group were included in the study. Vascular densities, flow indexes, and the foveal avascular zone (FAZ) area in superficial and deep retinal capillary plexuses were evaluated by OCTA in the right eyes of the control group, and both the surgical and healthy fellow eyes of the patients...
November 29, 2017: Ophthalmic Research
https://www.readbyqxmd.com/read/29179705/vitrectomy-with-internal-limiting-membrane-peeling-versus-inverted-internal-limiting-membrane-flap-technique-for-macular-hole-induced-retinal-detachment-a-systematic-review-of-literature-and-meta-analysis
#15
REVIEW
Jing Yuan, Ling-Lin Zhang, Yu-Jie Lu, Meng-Yao Han, Ai-Hua Yu, Xiao-Jun Cai
BACKGROUND: To evaluate the effects on vitrectomy with internal limiting membrane (ILM) peeling versus vitrectomy with inverted internal limiting membrane flap technique for macular hole-induced retinal detachment (MHRD). METHODS: Pubmed, Cochrane Library, and Embase were systematically searched for studies that compared ILM peeling with inverted ILM flap technique for macular hole-induced retinal detachment. The primary outcomes are the rate of retinal reattachment and the rate of macular hole closure 6 months later after initial surgery, the secondary outcome is the postoperative best-corrected visual acuity (BCVA) 6 months later after initial surgery...
November 28, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/29179702/foveal-microvasculature-features-of-surgically-closed-macular-hole-using-optical-coherence-tomography-angiography
#16
Joon Hee Cho, Ho Chul Yi, So Hyun Bae, Hakyoung Kim
BACKGROUND: To describe the features of foveal microvasculature using optical coherence tomography angiography (OCTA) and to determine the related clinical factors in eyes with surgically closed macular hole (MH). METHODS: A retrospective case series of 18 patients with unilateral MH was reviewed. The patients maintained complete hole closure after vitrectomy with inner limiting membrane (ILM) peeling for at least 12 months. The healthy fellow eyes were studied as controls...
November 28, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/29176938/a-proteomic-approach-to-understanding-the-pathogenesis-of-idiopathic-macular-hole-formation
#17
Pingbo Zhang, Min Zhu, Yuming Zhao, Jiang Qian, Craig Dufresne, Randi Turner, Richard D Semba, Sharon D Solomon
Idiopathic macular holes (IMH) are full-thickness defects of retinal tissue that cause severe vision loss due to disruption of the anatomic fovea. Abnormal vitreous traction is involved in the formation of macular holes. Both glial cells and hyalocytes contribute to epiretinal membrane formation in IMH. In order to gain further insight into the pathophysiology of IMH, we conducted a discovery phase investigation of the vitreous proteome in four patients with macular holes and six controls using one-dimensional gel fractionation and liquid chromatography-tandem mass spectrometry analyses on an Orbitrap Elite mass spectrometer...
2017: Clinical Proteomics
https://www.readbyqxmd.com/read/29176526/macular-hole-formation-after-pars-plana-vitrectomy-for-primary-vitreoretinal-lymphoma
#18
Masatoshi Haruta, Chikako Taguchi, Ryoji Yamakawa
PURPOSE: To report a case of primary vitreoretinal lymphoma in which a macular hole developed after a diagnostic pars plana vitrectomy. METHODS: A retrospective interventional case report. RESULTS: A 65-year-old woman presented with worsening vision in the left eye. Fundus examination showed vitreous haze and multifocal, yellow-white infiltrates in the retina and under the retinal pigment epithelium in the left eye. She underwent a diagnostic pars plana vitrectomy in that eye...
November 22, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29171725/paravascular-abnormalities-observed-by-spectral-domain-optical-coherence-tomography-are-risk-factors-for-retinoschisis-in-eyes-with-high-myopia
#19
Tong Li, Xiaohan Wang, Yanping Zhou, Tonghui Feng, Meichun Xiao, Fenghua Wang, Xiaodong Sun
PURPOSE: To investigate the retinal features and distribution of paravascular abnormalities (PVAs) and their relationship with retinoschisis in eyes with high myopia. METHODS: One hundred and fifty-two eyes of 88 patients with high myopia [refractive error greater than -6 dioptres (D) or axial length (AL) ≥26.5 mm] who had undergone comprehensive ophthalmic examinations were evaluated in this cross-sectional study. Multiple optical coherence tomography (OCT) scans were performed to study the microstructural alterations adjacent to the retinal vascular arcades and the entire macular area...
November 24, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/29164327/macular-retinoschisis-in-eyes-with-glaucomatous-optic-neuropathy-vitrectomy-and-natural-course
#20
Tadanobu Yoshikawa, Chihiro Yamanaka, Takamasa Kinoshita, Shohei Morikawa, Nahoko Ogata
PURPOSE: Our purpose was to determine the effectiveness of vitrectomy in resolving the macular retinoschisis in an eye with glaucomatous optic neuropathy and also to determine the natural course of macular retinoschisis. METHODS: This was a retrospective case series of patients who were diagnosed with macular retinoschisis and glaucomatous optic neuropathy. Fourteen eyes of 13 patients were studied. Patients with high myopia, vitreomacular traction syndrome, and the pit macular syndrome were excluded...
November 21, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
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