Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular hole
AIM: To observe the clinical effects of different methods of internal limiting membrane peeling in vitrectomy in treatment of idiopathic macular hole(IMH)with macular hole closure index(MHCI)<0.7. <p>METHODS: Totally 88 patients(88 eyes)with MHCI<0.7 IMH admitted from May 2014 to May 201...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2019-07-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2019/7/201907020.pdf |
| _version_ | 1819098300946579456 |
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| author | Hui-Pin Huang Yan-Ju Wang Rui-Li Ke Xiang-Rong Zhang |
| author_facet | Hui-Pin Huang Yan-Ju Wang Rui-Li Ke Xiang-Rong Zhang |
| author_sort | Hui-Pin Huang |
| collection | DOAJ |
| description | AIM: To observe the clinical effects of different methods of internal limiting membrane peeling in vitrectomy in treatment of idiopathic macular hole(IMH)with macular hole closure index(MHCI)<0.7. <p>METHODS: Totally 88 patients(88 eyes)with MHCI<0.7 IMH admitted from May 2014 to May 2017 were randomly divided into group A(44 eyes underwent extended internal limiting membrane dissection)and group B(44 eyes underwent standard internal limiting membrane dissection). The closure of macular hole, best corrected visual acuity(BCVA), central scotoma and complications were observed between the two groups. <p>RESULTS: At 6mo after operation, the closure rate of macular hole in group A was significantly higher than that in group B(91% <i>vs</i> 75%, <i>P</i><0.05). At 6mo after operation, BCVA in group A was better than that in group B(0.47±0.05 <i>vs</i> 0.74±0.14, <i>P</i><0.05). The percentage of central scotoma eyes was lower than that in group B(4% <i>vs</i> 23%, <i>P</i><0.05), but there was no significant difference in the incidence of complications between the two groups(11% <i>vs</i> 9%, <i>P</i>>0.05).<p>CONCLUSION: Extended internal limiting membrane dissection is more effective than standard internal limiting membrane dissection in the treatment of IMH with MHCI < 0.7, and the former is better for the recovery of retinal function. |
| first_indexed | 2024-12-22T00:28:48Z |
| format | Article |
| id | doaj.art-9c7a3b47bd2743d280fe30da9d5917bd |
| institution | Directory Open Access Journal |
| issn | 1672-5123 1672-5123 |
| language | English |
| last_indexed | 2024-12-22T00:28:48Z |
| publishDate | 2019-07-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-9c7a3b47bd2743d280fe30da9d5917bd2022-12-21T18:44:59ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-07-011971170117310.3980/j.issn.1672-5123.2019.7.20Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular holeHui-Pin Huang0Yan-Ju Wang1Rui-Li Ke2Xiang-Rong Zhang3Department of Ophthalmology, the People's Hospital of Longhua District, Shenzhen 518000, Guangdong Province, ChinaDepartment of Ophthalmology, the People's Hospital of Longhua District, Shenzhen 518000, Guangdong Province, ChinaDepartment of Ophthalmology, the People's Hospital of Longhua District, Shenzhen 518000, Guangdong Province, ChinaDepartment of Ophthalmology, the People's Hospital of Longhua District, Shenzhen 518000, Guangdong Province, ChinaAIM: To observe the clinical effects of different methods of internal limiting membrane peeling in vitrectomy in treatment of idiopathic macular hole(IMH)with macular hole closure index(MHCI)<0.7. <p>METHODS: Totally 88 patients(88 eyes)with MHCI<0.7 IMH admitted from May 2014 to May 2017 were randomly divided into group A(44 eyes underwent extended internal limiting membrane dissection)and group B(44 eyes underwent standard internal limiting membrane dissection). The closure of macular hole, best corrected visual acuity(BCVA), central scotoma and complications were observed between the two groups. <p>RESULTS: At 6mo after operation, the closure rate of macular hole in group A was significantly higher than that in group B(91% <i>vs</i> 75%, <i>P</i><0.05). At 6mo after operation, BCVA in group A was better than that in group B(0.47±0.05 <i>vs</i> 0.74±0.14, <i>P</i><0.05). The percentage of central scotoma eyes was lower than that in group B(4% <i>vs</i> 23%, <i>P</i><0.05), but there was no significant difference in the incidence of complications between the two groups(11% <i>vs</i> 9%, <i>P</i>>0.05).<p>CONCLUSION: Extended internal limiting membrane dissection is more effective than standard internal limiting membrane dissection in the treatment of IMH with MHCI < 0.7, and the former is better for the recovery of retinal function.http://ies.ijo.cn/cn_publish/2019/7/201907020.pdfstandard internal limiting membrane peelingenlarged internal limiting membrane peelingmacular holemacular hole closure indexcentral visual field |
| spellingShingle | Hui-Pin Huang Yan-Ju Wang Rui-Li Ke Xiang-Rong Zhang Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular hole Guoji Yanke Zazhi standard internal limiting membrane peeling enlarged internal limiting membrane peeling macular hole macular hole closure index central visual field |
| title | Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular hole |
| title_full | Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular hole |
| title_fullStr | Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular hole |
| title_full_unstemmed | Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular hole |
| title_short | Therapeutic effect of two methods of internal limiting membrane dissection on MHCI < 0.7 idiopathic macular hole |
| title_sort | therapeutic effect of two methods of internal limiting membrane dissection on mhci 0 7 idiopathic macular hole |
| topic | standard internal limiting membrane peeling enlarged internal limiting membrane peeling macular hole macular hole closure index central visual field |
| url | http://ies.ijo.cn/cn_publish/2019/7/201907020.pdf |
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