Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant

Hae Jung Sun, Charm Kim, Kibum Park, Sung Jin Lee Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, Seoul, South KoreaCorrespondence: Sung Jin LeeDepartment of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang Unive...

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Autores principales:	Sun HJ, Kim C, Park K, Lee SJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	exoplant high myopia macular buckling macular hole retinal detachment posterior staphyloma Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/80abe38d0a454f9db6f3b1980f9d5a94
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spelling	oai:doaj.org-article:80abe38d0a454f9db6f3b1980f9d5a942021-12-02T12:03:06ZCombined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant1177-5483https://doaj.org/article/80abe38d0a454f9db6f3b1980f9d5a942019-11-01T00:00:00Zhttps://www.dovepress.com/combined-vitrectomy-with-macular-buckling-in-high-myopic-eyes-with-mac-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hae Jung Sun, Charm Kim, Kibum Park, Sung Jin Lee Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, Seoul, South KoreaCorrespondence: Sung Jin LeeDepartment of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, #59 Daesagwan-ro, Yongsan-gu, Seoul 140-743, South KoreaTel +82-2-709-9355Fax +82-2-710-3196Email wismile@schmc.ac.krPurpose: To evaluate the efficacy of a novel snail-tipped exoplant for macular buckling combined with vitrectomy in high myopic eyes with macular hole retinal detachment.Patient and methods: A novel exoplant was simply prepared with a 5 × 3 mm silicone sponge strengthened in the center with a malleable titanium plate. One end was bent to make a rolled tip like a snail shell to be placed under the macula. Combined vitrectomy with macular buckling using this exoplant was performed in eight consecutive cases. The long arm of the exoplant was manipulated manually to fit the curvature of the eyeball and the length was trimmed appropriately after scleral suturing of the exoplant.Results: Retinal reattachment was achieved in all cases (100%) and macular hole closure was confirmed in 6 eyes (75%). The mean best-corrected visual acuity improved from 1.53 ± 0.73 LogMAR preoperatively to 1.14 ± 0.59 LogMAR to postoperatively (p = 0.063). The mean pre- and postoperative AL was 28.44 ± 1.86 mm and 27.60 ± 1.83 mm, respectively (p = 0.016). The mean follow-up period was 15.4 months and no buckle-related complications such as diplopia, infection or exposure of the exoplant were noticed during the period.Conclusion: This exoplant could easily be prepared with readily available materials in the operating room and it was well tolerated with favorable anatomic results in high myopic eyes. Further studies of increased number of patients with long-term follow-up will be necessary.Keywords: exoplant, high myopia, macular buckling, macular hole retinal detachment, posterior staphylomaSun HJKim CPark KLee SJDove Medical Pressarticleexoplanthigh myopiamacular bucklingmacular hole retinal detachmentposterior staphylomaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2233-2242 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	exoplant high myopia macular buckling macular hole retinal detachment posterior staphyloma Ophthalmology RE1-994
spellingShingle	exoplant high myopia macular buckling macular hole retinal detachment posterior staphyloma Ophthalmology RE1-994 Sun HJ Kim C Park K Lee SJ Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant
description	Hae Jung Sun, Charm Kim, Kibum Park, Sung Jin Lee Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, Seoul, South KoreaCorrespondence: Sung Jin LeeDepartment of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, #59 Daesagwan-ro, Yongsan-gu, Seoul 140-743, South KoreaTel +82-2-709-9355Fax +82-2-710-3196Email wismile@schmc.ac.krPurpose: To evaluate the efficacy of a novel snail-tipped exoplant for macular buckling combined with vitrectomy in high myopic eyes with macular hole retinal detachment.Patient and methods: A novel exoplant was simply prepared with a 5 × 3 mm silicone sponge strengthened in the center with a malleable titanium plate. One end was bent to make a rolled tip like a snail shell to be placed under the macula. Combined vitrectomy with macular buckling using this exoplant was performed in eight consecutive cases. The long arm of the exoplant was manipulated manually to fit the curvature of the eyeball and the length was trimmed appropriately after scleral suturing of the exoplant.Results: Retinal reattachment was achieved in all cases (100%) and macular hole closure was confirmed in 6 eyes (75%). The mean best-corrected visual acuity improved from 1.53 ± 0.73 LogMAR preoperatively to 1.14 ± 0.59 LogMAR to postoperatively (p = 0.063). The mean pre- and postoperative AL was 28.44 ± 1.86 mm and 27.60 ± 1.83 mm, respectively (p = 0.016). The mean follow-up period was 15.4 months and no buckle-related complications such as diplopia, infection or exposure of the exoplant were noticed during the period.Conclusion: This exoplant could easily be prepared with readily available materials in the operating room and it was well tolerated with favorable anatomic results in high myopic eyes. Further studies of increased number of patients with long-term follow-up will be necessary.Keywords: exoplant, high myopia, macular buckling, macular hole retinal detachment, posterior staphyloma
format	article
author	Sun HJ Kim C Park K Lee SJ
author_facet	Sun HJ Kim C Park K Lee SJ
author_sort	Sun HJ
title	Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant
title_short	Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant
title_full	Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant
title_fullStr	Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant
title_full_unstemmed	Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant
title_sort	combined vitrectomy with macular buckling in high myopic eyes with macular hole retinal detachment: a pilot study of a novel snail-tipped exoplant
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/80abe38d0a454f9db6f3b1980f9d5a94
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Combined Vitrectomy With Macular Buckling In High Myopic Eyes With Macular Hole Retinal Detachment: A Pilot Study Of A Novel Snail-Tipped Exoplant

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