Efficacy of Macular Hole Surgery in Patients with Idiopathic Macular Telangiectasia Type 2
| العنوان: | Efficacy of Macular Hole Surgery in Patients with Idiopathic Macular Telangiectasia Type 2 |
|---|---|
| المؤلفون: | David G Miller, Joan H Hornik, Rohit Chandra, Charles Pophal, Alexander G. Miller, Jerome P Schartman |
| المصدر: | Ophthalmology Retina. 4:494-497 |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Pars plana, medicine.medical_specialty, Visual acuity, genetic structures, medicine.medical_treatment, Visual Acuity, Vitrectomy, Retina, 03 medical and health sciences, 0302 clinical medicine, Ophthalmology, medicine, Humans, In patient, Macular hole, Aged, Retrospective Studies, 030304 developmental biology, Macular telangiectasia, 0303 health sciences, business.industry, Retrospective cohort study, Middle Aged, Retinal Perforations, medicine.disease, eye diseases, Surgery, Treatment Outcome, Choroidal neovascularization, medicine.anatomical_structure, 030221 ophthalmology & optometry, Retinal Telangiectasis, Female, sense organs, medicine.symptom, business, Tomography, Optical Coherence |
| الوصف: | Purpose To compare visual acuity (VA) and OCT outcomes in patients with idiopathic macular telangiectasia (IMT) type 2 who underwent pars plana vitrectomy (PPV) surgery for full-thickness macular holes (FTMHs) versus those who elected to be medically managed (MM) without surgery. Design Comparative retrospective case series. Participants Patients with IMT type 2 and FTMH. Methods We reviewed records within an 11-year period and collected data on VA, OCT changes, development of choroidal neovascularization, and length of follow-up. The VA measurements were standardized from Snellen to logarithm of the minimum angle of resolution units for statistical analysis. Two-sample t tests were used to analyze VA data. OCT changes were assessed by a single masked retinal specialist. Results There were 12 eyes in the PPV group and 26 eyes in the MM group. There was no statistically significant VA improvement in either group between initial VA recording and last follow-up. The PPV group had no significant change in VA between the preoperative visit and the visits at 3 or 12 months. OCT scans improved by 1 step in 10 patients in the PPV group. None of the patients in the MM group had OCT improvement. Choroidal neovascularization developed in 1 eye in the PPV group and 5 eyes in the MM group. Conclusions There was no significant change in VA in patients who opted to have PPV to treat their IMT type 2 and FTMH compared with those who did not undergo surgery. OCT scans improved by qualitative judgment in patients who underwent surgery compared with those who opted for medical management. |
| تدمد: | 2468-6530 |
| DOI: | 10.1016/j.oret.2019.11.017 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::288302f6ade03dc188bf8c71d83140c0 https://doi.org/10.1016/j.oret.2019.11.017 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....288302f6ade03dc188bf8c71d83140c0 |
| قاعدة البيانات: | OpenAIRE |
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Design Comparative retrospective case series. Participants Patients with IMT type 2 and FTMH. Methods We reviewed records within an 11-year period and collected data on VA, OCT changes, development of choroidal neovascularization, and length of follow-up. The VA measurements were standardized from Snellen to logarithm of the minimum angle of resolution units for statistical analysis. Two-sample t tests were used to analyze VA data. OCT changes were assessed by a single masked retinal specialist. Results There were 12 eyes in the PPV group and 26 eyes in the MM group. There was no statistically significant VA improvement in either group between initial VA recording and last follow-up. The PPV group had no significant change in VA between the preoperative visit and the visits at 3 or 12 months. OCT scans improved by 1 step in 10 patients in the PPV group. None of the patients in the MM group had OCT improvement. Choroidal neovascularization developed in 1 eye in the PPV group and 5 eyes in the MM group. Conclusions There was no significant change in VA in patients who opted to have PPV to treat their IMT type 2 and FTMH compared with those who did not undergo surgery. 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