Results of Pars Plana Vitrectomy for Different Types of Macular Holes

Hammouda Hamdy Ghoraba,1,2 Mahmoud Leila,3 Adel Galal Zaky,4 Tamer Wasfy,1 Haithem Maamoun Abdelfattah,2,5 Emad Mohamed Elgemai,2,6 Sameh Mohamed El Gouhary,4 Hosam Osman Mansour,7 Hashem Hammouda Ghoraba,1,2 Mohamed Amin Heikal8,9 1Ophthalmology Department, Tanta University, Tanta City, Gharbia, Eg...

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Autores principales:	Ghoraba HH, Leila M, Zaky AG, Wasfy T, Maamoun Abdelfattah H, Elgemai EM, Mohamed El Gouhary S, Mansour HO, Heikal MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	ilm peeling macular holes pars plana vitrectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/653bc40d23a54c54827ecfb06f3842b0
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spelling	oai:doaj.org-article:653bc40d23a54c54827ecfb06f3842b02021-12-02T14:14:47ZResults of Pars Plana Vitrectomy for Different Types of Macular Holes1177-5483https://doaj.org/article/653bc40d23a54c54827ecfb06f3842b02021-02-01T00:00:00Zhttps://www.dovepress.com/results-of-pars-plana-vitrectomy-for-different-types-of-macular-holes-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hammouda Hamdy Ghoraba,1,2 Mahmoud Leila,3 Adel Galal Zaky,4 Tamer Wasfy,1 Haithem Maamoun Abdelfattah,2,5 Emad Mohamed Elgemai,2,6 Sameh Mohamed El Gouhary,4 Hosam Osman Mansour,7 Hashem Hammouda Ghoraba,1,2 Mohamed Amin Heikal8,9 1Ophthalmology Department, Tanta University, Tanta City, Gharbia, Egypt; 2Ophthalmology Department, Magrabi Eye Hospital, Tanta City, Gharbia, Egypt; 3Retina Department, Research Institute of Ophthalmology, Cairo, Egypt; 4Ophthalmology Department, Menoufia University, Shebein Elkoom City, Menoufia, Egypt; 5Ophthalmology Department, Benha Teaching Hospital, Benha City, Qualuopia, Egypt; 6Ophthalmology Department, Damanhour Teaching Hospital, Dmanhour City, Albehaira, Egypt; 7Alazahr University, Damietta City, Damietta, Egypt; 8Ophthalmology Department, Benha University, Benha City, Qualuopia, Egypt; 9Vitreoretinal Department, Magrabi Eye Hospital, Khober City, Eastern Province, Kingdom of Saudi ArabiaCorrespondence: Mohamed Amin HeikalOphthalmology Department, Benha University, Benha City, Qualuopia, 13511, EgyptTel +00201007131431Email mohammedheikel@gmail.comPurpose: To compare different types of macular holes regarding the anatomic and functional success following pars plana vitrectomy (PPV) and internal limiting membrane (ILM) removal.Methods: A retrospective review of all patients with macular holes treated by PPV, ILM removal with gas tamponade from January 2014 to July 2017 in Magrabi Eye Hospital.Results: One hundred fifty-seven eyes of 153 patients were analyzed. The eyes were classified according to the etiology of macular hole into four groups: 79 eyes with idiopathic macular hole (IMH), 51 eyes with traumatic macular hole (TMH), 16 eyes with macular hole in diabetic patients (DMH) and 11 eyes with myopic macular hole (MMH). We classified the IMH group based on the International Vitreomacular Traction Study Classification according to size into 3 subgroups; subgroup 1: ≤ 250μ, subgroup 2: > 250 to 400μ and subgroup 3: ≥ 400 μ. All types of macular hole showed statistically significant postoperative improvement in BCVA compared to the baseline except cases with MMH. Anatomic postoperative hole closure was achieved in 86.1%, 60.7%, 43.65%, an 45.46% of eyes with IMH, TMH, DMH and MMH, respectively. In eyes with IMH, closure rate in subgroup 1 was significantly higher than in subgroups 2, and 3.Conclusion: PPV, ILM peel and C2F6 technique yielded variable anatomic and functional outcomes in different types of macular holes. Anatomic results were most favorable in IMH and least favorable in MMH. The smaller the diameter of the hole the better the results. The underlying pathogenetic mechanisms that lead to different types of macular holes are pivotal in determining the final outcome.Keywords: ILM peeling, macular holes, pars plana vitrectomyGhoraba HHLeila MZaky AGWasfy TMaamoun Abdelfattah HElgemai EMMohamed El Gouhary SMansour HOGhoraba HHHeikal MADove Medical Pressarticleilm peelingmacular holespars plana vitrectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 551-557 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ilm peeling macular holes pars plana vitrectomy Ophthalmology RE1-994
spellingShingle	ilm peeling macular holes pars plana vitrectomy Ophthalmology RE1-994 Ghoraba HH Leila M Zaky AG Wasfy T Maamoun Abdelfattah H Elgemai EM Mohamed El Gouhary S Mansour HO Ghoraba HH Heikal MA Results of Pars Plana Vitrectomy for Different Types of Macular Holes
description	Hammouda Hamdy Ghoraba,1,2 Mahmoud Leila,3 Adel Galal Zaky,4 Tamer Wasfy,1 Haithem Maamoun Abdelfattah,2,5 Emad Mohamed Elgemai,2,6 Sameh Mohamed El Gouhary,4 Hosam Osman Mansour,7 Hashem Hammouda Ghoraba,1,2 Mohamed Amin Heikal8,9 1Ophthalmology Department, Tanta University, Tanta City, Gharbia, Egypt; 2Ophthalmology Department, Magrabi Eye Hospital, Tanta City, Gharbia, Egypt; 3Retina Department, Research Institute of Ophthalmology, Cairo, Egypt; 4Ophthalmology Department, Menoufia University, Shebein Elkoom City, Menoufia, Egypt; 5Ophthalmology Department, Benha Teaching Hospital, Benha City, Qualuopia, Egypt; 6Ophthalmology Department, Damanhour Teaching Hospital, Dmanhour City, Albehaira, Egypt; 7Alazahr University, Damietta City, Damietta, Egypt; 8Ophthalmology Department, Benha University, Benha City, Qualuopia, Egypt; 9Vitreoretinal Department, Magrabi Eye Hospital, Khober City, Eastern Province, Kingdom of Saudi ArabiaCorrespondence: Mohamed Amin HeikalOphthalmology Department, Benha University, Benha City, Qualuopia, 13511, EgyptTel +00201007131431Email mohammedheikel@gmail.comPurpose: To compare different types of macular holes regarding the anatomic and functional success following pars plana vitrectomy (PPV) and internal limiting membrane (ILM) removal.Methods: A retrospective review of all patients with macular holes treated by PPV, ILM removal with gas tamponade from January 2014 to July 2017 in Magrabi Eye Hospital.Results: One hundred fifty-seven eyes of 153 patients were analyzed. The eyes were classified according to the etiology of macular hole into four groups: 79 eyes with idiopathic macular hole (IMH), 51 eyes with traumatic macular hole (TMH), 16 eyes with macular hole in diabetic patients (DMH) and 11 eyes with myopic macular hole (MMH). We classified the IMH group based on the International Vitreomacular Traction Study Classification according to size into 3 subgroups; subgroup 1: ≤ 250μ, subgroup 2: > 250 to 400μ and subgroup 3: ≥ 400 μ. All types of macular hole showed statistically significant postoperative improvement in BCVA compared to the baseline except cases with MMH. Anatomic postoperative hole closure was achieved in 86.1%, 60.7%, 43.65%, an 45.46% of eyes with IMH, TMH, DMH and MMH, respectively. In eyes with IMH, closure rate in subgroup 1 was significantly higher than in subgroups 2, and 3.Conclusion: PPV, ILM peel and C2F6 technique yielded variable anatomic and functional outcomes in different types of macular holes. Anatomic results were most favorable in IMH and least favorable in MMH. The smaller the diameter of the hole the better the results. The underlying pathogenetic mechanisms that lead to different types of macular holes are pivotal in determining the final outcome.Keywords: ILM peeling, macular holes, pars plana vitrectomy
format	article
author	Ghoraba HH Leila M Zaky AG Wasfy T Maamoun Abdelfattah H Elgemai EM Mohamed El Gouhary S Mansour HO Ghoraba HH Heikal MA
author_facet	Ghoraba HH Leila M Zaky AG Wasfy T Maamoun Abdelfattah H Elgemai EM Mohamed El Gouhary S Mansour HO Ghoraba HH Heikal MA
author_sort	Ghoraba HH
title	Results of Pars Plana Vitrectomy for Different Types of Macular Holes
title_short	Results of Pars Plana Vitrectomy for Different Types of Macular Holes
title_full	Results of Pars Plana Vitrectomy for Different Types of Macular Holes
title_fullStr	Results of Pars Plana Vitrectomy for Different Types of Macular Holes
title_full_unstemmed	Results of Pars Plana Vitrectomy for Different Types of Macular Holes
title_sort	results of pars plana vitrectomy for different types of macular holes
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/653bc40d23a54c54827ecfb06f3842b0
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Results of Pars Plana Vitrectomy for Different Types of Macular Holes

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