Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes

Hammouda Hamdy Ghoraba,1 Mahmoud Leila,2 Hashem Ghoraba,3 Mohamed Amin Heikal,4 Hosam Othman Mansour5 1Faculty of Medicine, Tanta University, Tanta, Egypt and Medical Director, Magrabi Eye Hospital, Tanta, Egypt; 2Retina Department, Research Institute of Ophthalmology, Giza, Egypt; 3Magrabi Eye Hosp...

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Autores principales:	Ghoraba HH, Leila M, Ghoraba H, Heikal MA, Mansour HO
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Modified ILM surgical technique - Traumatic FTMH – ILM peel adjuvants – ILM blue-assisted ILM peel – Ellipsoid zone recovery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a441295a4d3c435cbe2df085a1ce59f5
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spelling	oai:doaj.org-article:a441295a4d3c435cbe2df085a1ce59f52021-12-02T04:46:55ZOptical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes1177-5483https://doaj.org/article/a441295a4d3c435cbe2df085a1ce59f52019-10-01T00:00:00Zhttps://www.dovepress.com/optical-coherence-tomography-morphological-features-following-modified-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hammouda Hamdy Ghoraba,1 Mahmoud Leila,2 Hashem Ghoraba,3 Mohamed Amin Heikal,4 Hosam Othman Mansour5 1Faculty of Medicine, Tanta University, Tanta, Egypt and Medical Director, Magrabi Eye Hospital, Tanta, Egypt; 2Retina Department, Research Institute of Ophthalmology, Giza, Egypt; 3Magrabi Eye Hospital, Tanta, Egypt; 4Faculty of Medicine, Benha University, Benha, Egypt; 5Faculty of Medicine, Al Azhar University, New Damietta City, EgyptCorrespondence: Mahmoud LeilaRetina Department, Research Institute of Ophthalmology, 2, Al-Ahram Street, Giza, EgyptTel +201286644025Email mahmoudleila@yahoo.comObjective: To describe the optical coherence tomography (OCT) findings in terms of macular hole closure and ellipsoid zone (EZ) recovery following modified internal limiting membrane (ILM) surgical technique in traumatic macular holes (TMH).Methods: The study was a retrospective case series that recruited 16 consecutive patients with TMH. Following vitrectomy (PPV), we performed modified ILM surgical technique (IFT) in which ILM peel was stopped at the edges of the hole forming a floating ILM flap. Primary outcome measures were pattern of TMH closure and recovery of EZ. Student’s T-test and Pearson’s correlation coefficient were used for statistical analysis.Results: The study had 16 eyes of 16 patients. Mean baseline minimum linear diameter (MLD) was 562μ. Mean baseline best-corrected visual acuity (BCVA) was 1.4 logMAR. U-pattern closure occurred in 50% of eyes, V-pattern closure occurred in 31.2% of eyes, whereas W-pattern closure occurred in 18.7% of eyes. Mean BCVA improvement was 5 lines (p 0.02). Failure of recovery of EZ was detected in 75% of eyes. In the present series, neither pre-operative MLD nor time lapse prior to surgery were significant factors in determining the closure pattern of TMH, the grade of EZ recovery or final BCVA.Conclusion: Modified IFT is effective in promoting macular hole closure and improving visual acuity in patients with TMH. The technique does not promote recovery of EZ.Keywords: modified ILM surgical technique, traumatic FTMH, ILM peel adjuvants, ILM blue-assisted ILM peel, ellipsoid zone recoveryGhoraba HHLeila MGhoraba HHeikal MAMansour HODove Medical PressarticleModified ILM surgical technique - Traumatic FTMH – ILM peel adjuvants – ILM blue-assisted ILM peel – Ellipsoid zone recoveryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1963-1972 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Modified ILM surgical technique - Traumatic FTMH – ILM peel adjuvants – ILM blue-assisted ILM peel – Ellipsoid zone recovery Ophthalmology RE1-994
spellingShingle	Modified ILM surgical technique - Traumatic FTMH – ILM peel adjuvants – ILM blue-assisted ILM peel – Ellipsoid zone recovery Ophthalmology RE1-994 Ghoraba HH Leila M Ghoraba H Heikal MA Mansour HO Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes
description	Hammouda Hamdy Ghoraba,1 Mahmoud Leila,2 Hashem Ghoraba,3 Mohamed Amin Heikal,4 Hosam Othman Mansour5 1Faculty of Medicine, Tanta University, Tanta, Egypt and Medical Director, Magrabi Eye Hospital, Tanta, Egypt; 2Retina Department, Research Institute of Ophthalmology, Giza, Egypt; 3Magrabi Eye Hospital, Tanta, Egypt; 4Faculty of Medicine, Benha University, Benha, Egypt; 5Faculty of Medicine, Al Azhar University, New Damietta City, EgyptCorrespondence: Mahmoud LeilaRetina Department, Research Institute of Ophthalmology, 2, Al-Ahram Street, Giza, EgyptTel +201286644025Email mahmoudleila@yahoo.comObjective: To describe the optical coherence tomography (OCT) findings in terms of macular hole closure and ellipsoid zone (EZ) recovery following modified internal limiting membrane (ILM) surgical technique in traumatic macular holes (TMH).Methods: The study was a retrospective case series that recruited 16 consecutive patients with TMH. Following vitrectomy (PPV), we performed modified ILM surgical technique (IFT) in which ILM peel was stopped at the edges of the hole forming a floating ILM flap. Primary outcome measures were pattern of TMH closure and recovery of EZ. Student’s T-test and Pearson’s correlation coefficient were used for statistical analysis.Results: The study had 16 eyes of 16 patients. Mean baseline minimum linear diameter (MLD) was 562μ. Mean baseline best-corrected visual acuity (BCVA) was 1.4 logMAR. U-pattern closure occurred in 50% of eyes, V-pattern closure occurred in 31.2% of eyes, whereas W-pattern closure occurred in 18.7% of eyes. Mean BCVA improvement was 5 lines (p 0.02). Failure of recovery of EZ was detected in 75% of eyes. In the present series, neither pre-operative MLD nor time lapse prior to surgery were significant factors in determining the closure pattern of TMH, the grade of EZ recovery or final BCVA.Conclusion: Modified IFT is effective in promoting macular hole closure and improving visual acuity in patients with TMH. The technique does not promote recovery of EZ.Keywords: modified ILM surgical technique, traumatic FTMH, ILM peel adjuvants, ILM blue-assisted ILM peel, ellipsoid zone recovery
format	article
author	Ghoraba HH Leila M Ghoraba H Heikal MA Mansour HO
author_facet	Ghoraba HH Leila M Ghoraba H Heikal MA Mansour HO
author_sort	Ghoraba HH
title	Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes
title_short	Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes
title_full	Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes
title_fullStr	Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes
title_full_unstemmed	Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes
title_sort	optical coherence tomography morphological features following modified internal limiting membrane surgical technique in traumatic macular holes
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/a441295a4d3c435cbe2df085a1ce59f5
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Optical Coherence Tomography Morphological Features Following Modified Internal Limiting Membrane Surgical Technique In Traumatic Macular Holes

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