1. A retrospective, multicenter study on the management of macular holes without residual internal limiting membrane: the refractory macular hole (ReMaHo) study
- Author
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Lorenzi, U., Mehech, J., Caporossi, T., Romano, M. R., De Fazio, R., Parrat, E., Matonti, F., Mora, P., Sborgia, G., Forlini, M., Ventre, L., Soler, V., Sampo, M., Fiore, T., Van Overdam, K., Guigou, S., Rouhette, H., Rapizzi, E., Denion, E., Rebollo, O., Meyer, F., Uzzan, J., Mafrici, M., Bacherini, D., Favilla, S., Ricciotti, G., Tedesco, S. A., Gandolfi, S., and Muraine, M.
- Subjects
Visual Acuity ,Retinal Perforations ,Sensory Systems ,Basement Membrane ,Retina ,Cellular and Molecular Neuroscience ,Ophthalmology ,No internal limiting membrane ,Vitrectomy ,Reconstructive surgery ,Humans ,Full thickness macular hole ,Prognostic variables ,Tomography, Optical Coherence ,Retrospective Studies - Abstract
Purpose To evaluate the surgical management, outcomes and prognostic factors of full thickness macular holes without residual internal limiting membrane (NO-ILM FTMHs). Methods We performed a multicenter, retrospective study of 116 NO-ILM FTMHs. Human amniotic membrane (hAM) plug, autologous ILM free flap transplantation (AILMT), and autologous retinal graft transplantation (ART) were performed in 58, 48, and 10 patients, respectively. Data were collected before and up to 12 months after surgery. The primary outcomes were hole closure and final best-corrected visual acuity (BCVA). Results The final BCVA (0.78 ± 0.51 logMAR) was significantly better than and correlated with the initial BCVA (p 680 μm had a higher closure rate with hAM than with AILMT (p = 0.02). Conclusions AILMT and hAM were the most frequently performed surgeries with both high closure rate and significant functional improvement. Preoperative BCVA was correlated with final BCVA. The minimum FTMH diameter may guide the treatment choice.
- Published
- 2022