Universität zu Köln

Lohmann, Tibor, Schwarzer, Hendrik, Koutsonas, Antonis, Djalali-Talab, Yassin, Fuest, Matthias ORCID: 0000-0002-0573-2599, Widder, Randolf A., Walter, Peter and Roessler, Gernot (2022). TREATMENT OF PERSISTENT MACULAR HOLES WITH HEAVY SILICONE OIL. Retin.-J. Retin. Vitr. Dis., 42 (12). S. 2258 - 2267. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1539-2864

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Abstract

Background/Purpose:To determine anatomical success and best-corrected visual acuity after secondary surgery with heavy silicone oil tamponade in patients with persistent full-thickness macular holes.Methods:In this retrospective study, 63 eyes with persistent full-thickness macular holes after primary pars plana vitrectomy and internal limiting membrane peeling underwent secondary surgery with heavy silicone oil tamponade. Macular spectral domain optical coherence tomography and best-corrected visual acuity measurements were performed during the follow-up.Results:Fifty of 63 eyes (79.4%) achieved anatomical success. In eyes achieving anatomical success, best-corrected visual acuity before primary vitreoretinal surgery was significantly better (0.77 [similar to 20/125 Snellen] +/- 0.24 [1.3-0.3] logarithm of the minimum angle of resolution) compared with eyes not achieving anatomical success (0.88 [similar to 20/160 Snellen] +/- 0.17 [1.1-0.6] logarithm of the minimum angle of resolution, P = 0.044). Minimum linear diameter of full-thickness macular holes was significantly smaller in eyes achieving anatomical success, both before primary (403.4 +/- 128.7 [199.0-707.0] mu m vs. 568.1 +/- 209.1 [307.0-953.0] mu m, P = 0.009) and secondary surgery (464.1 +/- 215.0 [178.0-1,521.0] mu m vs. 663.3 +/- 228.5 [451.0-1,301.0] mu m, P = 0.010). Patients remaining phakic during all three surgeries did not benefit from best-corrected visual acuity improvement, although anatomical success was achieved.Conclusion:Heavy silicone oil tamponade in secondary surgery for persistent full-thickness macular holes is a safe and efficient surgical method. Best-corrected visual acuity and minimum linear diameter before surgery may be indicators for anatomical success.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lohmann, Tibor UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwarzer, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Koutsonas, Antonis UNSPECIFIED UNSPECIFIED UNSPECIFIED Djalali-Talab, Yassin UNSPECIFIED UNSPECIFIED UNSPECIFIED Fuest, Matthias UNSPECIFIED orcid.org/0000-0002-0573-2599 UNSPECIFIED Widder, Randolf A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Walter, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Roessler, Gernot UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-668584
DOI:	10.1097/IAE.0000000000003620
Journal or Publication Title:	Retin.-J. Retin. Vitr. Dis.
Volume:	42
Number:	12
Page Range:	S. 2258 - 2267
Date:	2022
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1539-2864
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTERNAL LIMITING MEMBRANE; AUTOLOGOUS PLATELET CONCENTRATE; TAMPONADE; SURGERY; DETACHMENT Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66858