Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery

AIM: To evaluate the therapeutic effect of amniotic membrane (AM) for covering high myopic macular hole associated with retinal detachment following failed primary surgery. METHODS: Seventeen eyes of 17 patients whose axial length was more than 29 mm suffered from macular hole (MH) or MH associated...

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Main Authors: Gang Qiao, Xiao-Juan Zhang, Zi-Yan Tang, Qiang-Xing Zou, Chun-Mei He, Xian-Ming Lei, Long Zhao, Yu Quan, Hua-Qing Yang, Kui Cao, Wan-Jiang Dong
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2022-05-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://ies.ijo.cn/en_publish/2022/5/20220511.pdf
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author Gang Qiao
Xiao-Juan Zhang
Zi-Yan Tang
Qiang-Xing Zou
Chun-Mei He
Xian-Ming Lei
Long Zhao
Yu Quan
Hua-Qing Yang
Kui Cao
Wan-Jiang Dong
author_facet Gang Qiao
Xiao-Juan Zhang
Zi-Yan Tang
Qiang-Xing Zou
Chun-Mei He
Xian-Ming Lei
Long Zhao
Yu Quan
Hua-Qing Yang
Kui Cao
Wan-Jiang Dong
author_sort Gang Qiao
collection DOAJ
description AIM: To evaluate the therapeutic effect of amniotic membrane (AM) for covering high myopic macular hole associated with retinal detachment following failed primary surgery. METHODS: Seventeen eyes of 17 patients whose axial length was more than 29 mm suffered from macular hole (MH) or MH associated with retinal detachment (RD), and had previously surgery of pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling and silicone oil (SO) tamponade. Half a year after the surgery, optical coherence tomography (OCT) showed that MH did not heal in all 17 eyes and RD was still maintained in 13 eyes of these 17 eyes. We performed SO removal combined with AM covering on macular area and C3F8 tamponade, and phacoemulsification combined with intraocular lens implantation simultaneously cataract eyes. We followed up these patients for one year. RESULTS: In all 17 eyes, SO was removed successfully, MHs were healed and RDs were reattached. One eye (5.89%, 1/17) had AM shifted half a month after surgery and underwent a second surgery to adjust the position of the AM and supplement C3F8. After surgery, the visual acuity (VA) improved in 15 eyes (88.24%, 15/17), no change in two eyes (11.76%, 2/17). No serious complications occurred in all eyes. CONCLUSION: AM covering is helpful to rescue the previous failure surgery of high myopic MH.
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spelling doaj.art-291d44b597254af281485530c1f2aca12022-12-22T02:20:56ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982022-05-0115576076510.18240/ijo.2022.05.1120220511Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgeryGang Qiao0Xiao-Juan Zhang1Zi-Yan Tang2Qiang-Xing Zou3Chun-Mei He4Xian-Ming Lei5Long Zhao6Yu Quan7Hua-Qing Yang8Kui Cao9Wan-Jiang Dong10Zi-Yan Tang. Wanjiang Eye Hospital of Mianyang, No.16, Hongta Street, Fucheng District, Mianyang 621000, Sichuan Province, China. 418445961@qq.comWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaWanjiang Eye Hospital of Mianyang, Mianyang 621000, Sichuan Province, ChinaAIM: To evaluate the therapeutic effect of amniotic membrane (AM) for covering high myopic macular hole associated with retinal detachment following failed primary surgery. METHODS: Seventeen eyes of 17 patients whose axial length was more than 29 mm suffered from macular hole (MH) or MH associated with retinal detachment (RD), and had previously surgery of pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling and silicone oil (SO) tamponade. Half a year after the surgery, optical coherence tomography (OCT) showed that MH did not heal in all 17 eyes and RD was still maintained in 13 eyes of these 17 eyes. We performed SO removal combined with AM covering on macular area and C3F8 tamponade, and phacoemulsification combined with intraocular lens implantation simultaneously cataract eyes. We followed up these patients for one year. RESULTS: In all 17 eyes, SO was removed successfully, MHs were healed and RDs were reattached. One eye (5.89%, 1/17) had AM shifted half a month after surgery and underwent a second surgery to adjust the position of the AM and supplement C3F8. After surgery, the visual acuity (VA) improved in 15 eyes (88.24%, 15/17), no change in two eyes (11.76%, 2/17). No serious complications occurred in all eyes. CONCLUSION: AM covering is helpful to rescue the previous failure surgery of high myopic MH.http://ies.ijo.cn/en_publish/2022/5/20220511.pdfamniotic membranehigh myopiamacular holeretinal detachment
spellingShingle Gang Qiao
Xiao-Juan Zhang
Zi-Yan Tang
Qiang-Xing Zou
Chun-Mei He
Xian-Ming Lei
Long Zhao
Yu Quan
Hua-Qing Yang
Kui Cao
Wan-Jiang Dong
Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
International Journal of Ophthalmology
amniotic membrane
high myopia
macular hole
retinal detachment
title Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
title_full Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
title_fullStr Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
title_full_unstemmed Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
title_short Amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
title_sort amniotic membrane for covering high myopic macular hole associated with retinal detachment following failed primary surgery
topic amniotic membrane
high myopia
macular hole
retinal detachment
url http://ies.ijo.cn/en_publish/2022/5/20220511.pdf
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