COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES

The goal is to evaluate the effectiveness of the developed technique of the gradual forming of the internal limiting membrane (ML) fragment in the treatment of large macular holes (MH) in comparison with the standard methodology (using classical maculorhexis and rapprochement of MH edges by using of...

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Autores principales:	Y. A. Belyi, A. V. Tereshchenko, N. M. Shilov, D. O. Shkvorchenko, A. A. Shpak, E. V. Erokhina
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2016
Materias:	idiopathic macular hole internal limiting membrane surgical treatment Science Q
Acceso en línea:	https://doaj.org/article/b9b8a03307b7471db4419e3ce94f3e60
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spelling	oai:doaj.org-article:b9b8a03307b7471db4419e3ce94f3e602021-11-23T06:14:36ZCOMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES2541-94202587-959610.12737/23715https://doaj.org/article/b9b8a03307b7471db4419e3ce94f3e602016-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/313https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The goal is to evaluate the effectiveness of the developed technique of the gradual forming of the internal limiting membrane (ML) fragment in the treatment of large macular holes (MH) in comparison with the standard methodology (using classical maculorhexis and rapprochement of MH edges by using of vacuum aspiration). Materials and methods: we observed 137patients (103 women, 34 men) aged from 54 to 78years with large MH (over 400 ßm). Duration of MH ranged from 3 to 60 months. All the patients were divided into groups: 1 (new methodology) and 2 (standard method), and sub-groups: 1a and 2a - patients with MH with a minimum diameter 400-650 μm; 1b and 2b - patients with MH with a minimum diameter more than 650 μm. The new technique is performed in several stages, during which several series of 1LM "petals" removal are made, leaving an intact area on the MH edge. The last ILM "petal" or fragment is inverted and placed on the MH. Results: 1n subgroup 1a, there was a statistically significant increase in best corrected visual acuity (BCVA) during all follow-up with the most pronounced growth in the first 6 months (from 0.15 ± 0.06 to 0.55 ± 0.14) (p < 0.05). 1n subgroup 1b a statistically significant increase in mean values of BCVA was also observed especially during first 6 month (from 0.13 ± 0.06 to 0.36 ± 0.12) (p < 0.05). In group 2 (a, b) BCVA was significantly lower (p < 0.05). Conclusion: the new technique allows to reach higher functional-anatomical results in surgical treatment of MH.Y. A. BelyiA. V. TereshchenkoN. M. ShilovD. O. ShkvorchenkoA. A. ShpakE. V. ErokhinaScientific Сentre for Family Health and Human Reproduction Problemsarticleidiopathic macular holeinternal limiting membranesurgical treatmentScienceQRUActa Biomedica Scientifica, Vol 1, Iss 6, Pp 19-23 (2016)
institution	DOAJ
collection	DOAJ
language	RU
topic	idiopathic macular hole internal limiting membrane surgical treatment Science Q
spellingShingle	idiopathic macular hole internal limiting membrane surgical treatment Science Q Y. A. Belyi A. V. Tereshchenko N. M. Shilov D. O. Shkvorchenko A. A. Shpak E. V. Erokhina COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES
description	The goal is to evaluate the effectiveness of the developed technique of the gradual forming of the internal limiting membrane (ML) fragment in the treatment of large macular holes (MH) in comparison with the standard methodology (using classical maculorhexis and rapprochement of MH edges by using of vacuum aspiration). Materials and methods: we observed 137patients (103 women, 34 men) aged from 54 to 78years with large MH (over 400 ßm). Duration of MH ranged from 3 to 60 months. All the patients were divided into groups: 1 (new methodology) and 2 (standard method), and sub-groups: 1a and 2a - patients with MH with a minimum diameter 400-650 μm; 1b and 2b - patients with MH with a minimum diameter more than 650 μm. The new technique is performed in several stages, during which several series of 1LM "petals" removal are made, leaving an intact area on the MH edge. The last ILM "petal" or fragment is inverted and placed on the MH. Results: 1n subgroup 1a, there was a statistically significant increase in best corrected visual acuity (BCVA) during all follow-up with the most pronounced growth in the first 6 months (from 0.15 ± 0.06 to 0.55 ± 0.14) (p < 0.05). 1n subgroup 1b a statistically significant increase in mean values of BCVA was also observed especially during first 6 month (from 0.13 ± 0.06 to 0.36 ± 0.12) (p < 0.05). In group 2 (a, b) BCVA was significantly lower (p < 0.05). Conclusion: the new technique allows to reach higher functional-anatomical results in surgical treatment of MH.
format	article
author	Y. A. Belyi A. V. Tereshchenko N. M. Shilov D. O. Shkvorchenko A. A. Shpak E. V. Erokhina
author_facet	Y. A. Belyi A. V. Tereshchenko N. M. Shilov D. O. Shkvorchenko A. A. Shpak E. V. Erokhina
author_sort	Y. A. Belyi
title	COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES
title_short	COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES
title_full	COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES
title_fullStr	COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES
title_full_unstemmed	COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES
title_sort	comparative results of surgical treatment of large idiopathic macular holes
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2016
url	https://doaj.org/article/b9b8a03307b7471db4419e3ce94f3e60
work_keys_str_mv	AT yabelyi comparativeresultsofsurgicaltreatmentoflargeidiopathicmacularholes AT avtereshchenko comparativeresultsofsurgicaltreatmentoflargeidiopathicmacularholes AT nmshilov comparativeresultsofsurgicaltreatmentoflargeidiopathicmacularholes AT doshkvorchenko comparativeresultsofsurgicaltreatmentoflargeidiopathicmacularholes AT aashpak comparativeresultsofsurgicaltreatmentoflargeidiopathicmacularholes AT everokhina comparativeresultsofsurgicaltreatmentoflargeidiopathicmacularholes
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COMPARATIVE RESULTS OF SURGICAL TREATMENT OF LARGE IDIOPATHIC MACULAR HOLES

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