Fibrin-Glue-Assisted Surgery for Idiopathic Macular Holes.

IF 1.9 4区 医学 Q2 OPHTHALMOLOGY Seminars in Ophthalmology Pub Date : 2024-02-01 Epub Date: 2024-01-16 DOI:10.1080/08820538.2023.2271047
Mudit Tyagi, Nikitha Gurram Reddy, Niroj Kumar Sahoo
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Abstract

Methods: This pilot clinical trial included 10 eyes of 10 patients with idiopathic MH, where PPV along with ILMP was done. Fibrin glue was used as a tamponade, and no postoperative positioning was given to any patient. The primary outcome measure was successful anatomical closure of the MH. The secondary outcome measures were postoperative improvement in best-corrected visual acuity (BCVA) and any complications of the procedure.

Results: The median age of patients was 62.5 years. Eight eyes were pseudophakic and two were phakic. The mean basal diameter of the MH was 1193 microns. The mean minimal linear diameter was 652 microns. Successful anatomic closure of MH was achieved in eight cases. The median BCVA improved from a Snellen equivalent of 20/100 preoperatively to 20/60 at 1 month postoperatively. The median follow-up period was 4 months.

Conclusion: The findings of this study suggest that the use of fibrin glue can be useful in patients where postoperative positioning is difficult.

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纤维蛋白胶辅助治疗特发性黄斑裂孔。
方法:该初步临床试验包括10例特发性MH患者的10眼,其中PPV和ILMP一起进行。纤维蛋白胶被用作填塞物,并且没有对任何患者进行术后定位。主要结果指标是MH的解剖闭合成功。次要结果指标是术后最佳矫正视力(BCVA)的改善和手术的任何并发症。结果:患者的中位年龄为62.5岁 年。8只眼睛是人工晶状体眼,2只眼睛是有晶状体眼。MH的平均基底直径为1193微米。平均最小线性直径为652微米。8例MH解剖闭合成功。中位BCVA从术前的20/100 Snellen当量提高到术后1个月的20/60。中位随访期为4 月。结论:本研究的结果表明,纤维蛋白胶的使用对术后定位困难的患者是有用的。
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来源期刊
Seminars in Ophthalmology
Seminars in Ophthalmology OPHTHALMOLOGY-
CiteScore
3.20
自引率
0.00%
发文量
80
审稿时长
>12 weeks
期刊介绍: Seminars in Ophthalmology offers current, clinically oriented reviews on the diagnosis and treatment of ophthalmic disorders. Each issue focuses on a single topic, with a primary emphasis on appropriate surgical techniques.
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