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Spektrum der Augenheilkunde

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23.02.2022 | original article

ILM peeling with ILM flap transposition vs. classic ILM peeling for small and medium macula holes—a prospective randomized trial

verfasst von: Christoph Leisser, MD, Manuel Ruiss, Caroline Pilwachs, Oliver Findl

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 1/2023

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Summary

Background

The aim of the present study was to compare macular hole closure rates of patients with small and medium-sized macular holes who underwent vitrectomy with internal limiting membrane (ILM) peeling combined with ILM flap transposition over the macular hole, compared with classic ILM peeling.

Methods

This prospective randomized trial was designed as a pilot study with two groups: ILM peeling with ILM flap transposition over the macular hole vs. classic ILM peeling.

Results

Among 20 patients recruited, complete analysis could be performed for 16 patients. The macular hole closure rates were 100% in both groups, without significant differences with respect to postsurgical subfoveal hyporeflective zones (p = 1.0, Fisher’s exact test), postsurgical visual acuity (p = 0.7, t-test), and postsurgical irregularities of the ellipsoid zone (p = 1.0, Fisher’s exact test).

Conclusion

Vitrectomy with ILM peeling combined with ILM flap transposition over the macular hole and classic ILM peeling are both successful methods for the repair of macular holes of small and medium size and are associated with comparable outcomes.

Vorheriger Artikel Sustained impact of COVID-19 on primary retinal detachment repair in a tertiary eye hospital from March to December 2020

Nächster Artikel Predictive value of macular hole indices for vitrectomy with ILM peeling combined with ILM flap transposition over the macular hole on macular hole closure

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Titel: ILM peeling with ILM flap transposition vs. classic ILM peeling for small and medium macula holes—a prospective randomized trial
verfasst von: Christoph Leisser, MD
Manuel Ruiss
Caroline Pilwachs
Oliver Findl
Publikationsdatum: 23.02.2022
Verlag: Springer Vienna
Erschienen in: Spektrum der Augenheilkunde / Ausgabe 1/2023
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI: https://doi.org/10.1007/s00717-022-00515-y

Springer Medizin Österreich

ILM peeling with ILM flap transposition vs. classic ILM peeling for small and medium macula holes—a prospective randomized trial

Summary

Background

Methods

Results

Conclusion

Weitere Artikel der Ausgabe 1/2023

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusion

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