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- Titel:
Anatomical and functional outcomes of pneumatic vitreolysis for treatment of vitreomacular traction with and without macular holes.
- Dokumenttyp:
- Journal Article
- Autor(en):
- Baumann, Carmen; Sabatino, Francesco; Zheng, Yalin; Johannigmann-Malek, Navid; Maier, Mathias; Kaye, Stephen B; Patton, Niall
- Abstract:
- PURPOSE: To evaluate the outcome of pneumatic vitreolysis (PVL) for vitreomacular traction (VMT) with or without full thickness macular hole (MH) < 400 µm. METHODS: Forty-seven eyes of 47 patients were included who had undergone PVL for VMT with or without MH. Main outcome measures were release of VMT, MH closure, best-corrected visual acuity (BCVA) and adverse events. RESULTS: Thirty-three patients had isolated VMT and 14 patients VMT with a MH. Four weeks after PVL, the overall VMT release rate was 35/47 (74.5%): 25/37 (67.6%) in phakic and 10/10 (100%) in pseudophakic eyes (p = 0.03). Four of 14 MH (28.6%) were closed. Twenty-two of 47 (46.8%) eyes required a subsequent PPV: 12/33 (36.4%) in the VMT only group and 10/14 (71.4%) in the VMT with MH group. Mean BCVA improved from 0.48 (± 0.24) to 0.34 (± 0.23) logMAR at 6 months in patients with VMT alone (p < 0.001), and from 0.57 (± 0.27) to 0.41 (± 0.28) logMAR in patients with VMT and MH (p = 0.008). Adverse events included new formation of a large MH in 4/33 (12.1%) eyes, failure of MH closure in 10/14 (71.4%) eyes, progression of mean minimum linear diameter (MLD) MH size from baseline 139 (± 67) to 396 (± 130) µm (p < 0.001) and development of a retinal detachment in 4/47 (8.5%) eyes. CONCLUSION: While PVL leads to a high VMT release rate particularly in pseudophakic eyes, it is associated with a relatively high incidence of MH formation, MH size progression and retinal detachment.
- Zeitschriftentitel:
- Graefes Arch Clin Exp Ophthalmol
- Jahr:
- 2022
- Band / Volume:
- 260
- Heft / Issue:
- 7
- Seitenangaben Beitrag:
- 2209-2215
- Volltext / DOI:
- doi:10.1007/s00417-022-05568-y
- PubMed:
- http://view.ncbi.nlm.nih.gov/pubmed/35122133
- Print-ISSN:
- 0721-832X
- TUM Einrichtung:
- Klinik und Poliklinik für Augenheilkunde
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