Clinical outcomes with large macular holes using the tiled transplantation internal limiting membrane pedicle flap technique
Author:
Corresponding Author:

Wen-Tao Sun. Department of Ophthalmology, Shaanxi Ophthalmic Medical Center, Xi’an Fourth Hospital, Affiliated Guangren Hospital, School of Medicine, Xi’an Jiaotong University, Xi’an 710004, Shaanxi Province, China. 245135237@qq.com

Affiliation:

Clc Number:

Fund Project:

Supported by the Shaanxi Provincial Social Development Scientific and Technological Project (No.2016SF-133).

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    AIM: To report the surgical technique and efficacy of the tiled transplantation internal limiting membrane (ILM) pedicle flap technique after vitrectomy for 33 patients with large macular hole (MH). METHODS: This study was a prospective noncontrolled interventional study. All patients were treated by vitrectomy, the tiled transplantation ILM pedicle flap and gas tamponade. All patients underwent visual acuity measurements and optical coherence tomography (OCT), during preoperative and the follow-up visits postoperative. RESULTS: Two high-myopic patient had flap dislocation during surgery. The thorough closure of MH following the tiled transplantation ILM pedicle flap technique was ultimately achieved in 31 patients observed by OCT imaging (93.94%) 1wk after surgery. Visual acuity improved from 1.51±0.31 (logMAR) preoperative to 0.92±0.30 6mo after surgery (P=0.000). There were no significant changes in OCT finding during the follow-up period from 1mo to 6mo after surgery. CONCLUSION: The tiled transplantation ILM pedicle flap technique provides bridge for retinal gliosis to achieve successful closures of the large MHs, and the microenvironment of this technique is more similar to the normal physiological conditions.

    Reference
    Related
    Cited by
Get Citation

Li-Ping Wang, Wen-Tao Sun, Chun-Ling Lei, et al. Clinical outcomes with large macular holes using the tiled transplantation internal limiting membrane pedicle flap technique. Int J Ophthalmol, 2019,12(2):246-251

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
Publication History
  • Received:October 08,2018
  • Revised:December 10,2018
  • Adopted:
  • Online: January 03,2019
  • Published: