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  1. Article: Visual and anatomical results of surgery for long standing macular holes.

    Scott, R A / Ezra, E / West, J F / Gregor, Z J

    The British journal of ophthalmology

    2000  Volume 84, Issue 2, Page(s) 150–153

    Abstract: Aims: To determine the visual and anatomical outcome of surgery for long standing idiopathic ... effective intervention for long standing macular holes. Anatomical closure of the macular hole is associated ... of anatomical closure of the hole.: Results: The mean duration of symptoms was 18.21 (SD 5.42) months ...

    Abstract Aims: To determine the visual and anatomical outcome of surgery for long standing idiopathic macular holes.
    Methods: A retrospective review of 24 eyes of all 22 patients who underwent surgery for idiopathic full thickness macular holes (FTMH) symptomatic for between 1 and 3 years. Postoperative follow up was for 6 months. Preoperative and postoperative visual acuities were recorded as well as the presence of anatomical closure of the hole.
    Results: The mean duration of symptoms was 18.21 (SD 5.42) months). Anatomical closure of the FTMH was achieved in 17 (70.8%) of the eyes at 6 months. The logMAR acuity of the group where closure was achieved improved by a mean of 0.31, equivalent to a change of Snellen acuity from 6/60 to 6/29. Where the hole remained open the acuity deteriorated by a mean logMAR of 0.11 lines, equivalent to a change of Snellen acuity from 6/60 to 5/60. Anatomical closure of the hole was associated with a significantly improved acuity over non-closure (p<0.001). The degree of visual improvement was independent of the preoperative visual acuity (Spearman correlation coefficient 0.03, p=0.888), though preoperative acuity was related to the final acuity (Spearman correlation coefficient 0.701, p<0.001). Over the study period, six patients required cataract surgery, one patient developed secondary glaucoma, and one a retinal detachment.
    Conclusions: Vitrectomy with intraocular gas tamponade and postoperative posturing is a well tolerated and effective intervention for long standing macular holes. Anatomical closure of the macular hole is associated with a significant improvement in visual acuity.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Macular Degeneration/physiopathology ; Macular Degeneration/surgery ; Male ; Middle Aged ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Visual Acuity/physiology ; Vitrectomy/methods
    Language English
    Publishing date 2000-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 80078-8
    ISSN 1468-2079 ; 0007-1161
    ISSN (online) 1468-2079
    ISSN 0007-1161
    DOI 10.1136/bjo.84.2.150
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Successful surgical repair and good visual outcome of a recurrent macular hole of seven years duration.

    Oz, O / Akduman, L

    European journal of ophthalmology

    2003  Volume 13, Issue 6, Page(s) 588–589

    Abstract: ... macular holes may be considered for surgery. Predictors of successful visual outcome after surgery in very-long ... for a seven-year old recurrent macular hole.: Results: Macular hole closed and visual acuity improved form ... Purpose: To report anatomical closure and visual improvement in a patient with seven-year history ...

    Abstract Purpose: To report anatomical closure and visual improvement in a patient with seven-year history of recurrent macular hole.
    Methods: A 68-year-old woman underwent vitrectomy and silicone oil tamponade for a seven-year old recurrent macular hole.
    Results: Macular hole closed and visual acuity improved form 20/400 to 20/60 at 12 months follow-up.
    Conclusions: The eyes with very-long standing macular holes may be considered for surgery. Predictors of successful visual outcome after surgery in very-long standing macular holes should be studied in larger series.
    MeSH term(s) Aged ; Female ; Humans ; Macula Lutea/pathology ; Macula Lutea/surgery ; Retinal Perforations/physiopathology ; Retinal Perforations/surgery ; Secondary Prevention ; Time Factors ; Treatment Outcome ; Visual Acuity ; Vitrectomy/methods
    Language English
    Publishing date 2003-08-14
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1089461-5
    ISSN 1724-6016 ; 1120-6721
    ISSN (online) 1724-6016
    ISSN 1120-6721
    DOI 10.1177/112067210301300615
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Dlhodobé sledovanie zrakových funkcií po anatomicky úspesnej chirurgickej liecbe idiopatickej diery makuly.

    Krásnik, V / Strmen, P / Javorská, L

    Ceska a slovenska oftalmologie : casopis Ceske oftalmologicke spolecnosti a Slovenske oftalmologicke spolecnosti

    2001  Volume 57, Issue 2, Page(s) 80–87

    Abstract: ... anatomically successful surgery of idiopathic macular hole is dynamic, long-standing and continual process ... of visual acuity in patients undergoing anatomically successful macular hole surgery.: Materials and methods ... visual acuity before and after surgery of idiopathic macular hole was 0.18 respectively 0.39 and improvement ...

    Title translation Long-term monitoring of visual function after anatomically successful surgical treatment of idiopathic macular holes.
    Abstract Purpose: The purpose of the study is to determine the outcomes of long-term changes and evolution of visual acuity in patients undergoing anatomically successful macular hole surgery.
    Materials and methods: Into prospective study are enrolled 20 eyes (20 patients). All patients were successfully operated for idiopathic macular hole between September, 1996 and August, 1998. Time of follow up ranged from 20 to 43 months (mean, 29.5). The best corrected visual acuity was examined before operation and every 3 months after surgery. 12 eyes were operated for complicated cataract. The subgroup of 16 eyes was selected from the group of 20 eyes. The subgroup consisted of patients, who in the first examination observed in Watzke-Allen test the interruption of ray of light and there was a central scotoma on the campimetry. These tests were realised before operation and in the 3rd, 9th and 15th months after operation. Fisher's test and Student's t test were used for statistical analysis.
    Results: Mean corrected visual acuity before operation was 0.21. Best corrected visual acuity was 0.44, reached in the 12th months. Improvement in +2 or more lines was reached in 55%. In 15th and 18th months the mean corrected visual acuity decrease because of the progression of nuclear sclerosis. 12 eyes were operated for complicated cataract. The best corrected visual acuity before and after surgery of idiopathic macular hole was 0.18 respectively 0.39 and improvement in +2 or more lines was reached in 6 (50%) eyes. After surgery of complicated cataract the mean visual acuity was 0.49. Further improvement in +2 or more lines was reached in 2 (16.7%) eyes, together in 8 (66,%) eyes. Statistical analysis (Fischer's tests, Student's t test) was significant (P < 0.05). In the subgroup of 16 eyes, where were followed changes in Watzke-Allen test, the interruption of ray of light was in all 16 (100%) patients. In the 3rd month 6 (37.5%) patients observed interruption of ray of light and other 10 (62.5%) observed deformation in the central part of ray of light. In 9th and 15th months the interruption observed 5 (31.25%) patients. Deformation in 9th and 15th months observed 8 (50%) respectively 5 (31.25%) patients. Gradual decrease of central scotoma observed in the 3rd, 9th and 15th month 10 (62.5%), 13 (81.25%) and 14 (87.5%) patients. During the follow up in 12 (75%) patients was reached total disappearance of central scotoma.
    Conclusions: The evolution of visual acuity after anatomically successful surgery of idiopathic macular hole is dynamic, long-standing and continual process. Improvement of visual acuity can be masked by progression of complicated cataract-nuclear sclerosis. Further improvement of visual acuity can be observed after of the surgery complicated cataract.
    MeSH term(s) Aged ; Cataract/complications ; Cataract Extraction ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Prospective Studies ; Retinal Perforations/complications ; Retinal Perforations/physiopathology ; Retinal Perforations/surgery ; Scotoma/complications ; Visual Acuity
    Language Slovak
    Publishing date 2001-03
    Publishing country Czech Republic
    Document type English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1235298-6
    ISSN 1805-4447 ; 1211-9059 ; 0009-059X
    ISSN (online) 1805-4447
    ISSN 1211-9059 ; 0009-059X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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