Foveal Sparing ILM Peeling With ILM Flap Transposition
Study Details
Study Description
Brief Summary
Foveal sparing internal limiting membrane (ILM) peeling with ILM flap transposition over the macular hole combines the benefits of foveal sparing ILM peeling with ILM flap techniques.
Aim of this study is to retrospectively examine the rate of postsurgical macular hole closure, development of central atrophy in the foveal area, and improvement of best corrected distant visual acuity in a group of patients having undergone foveal sparing ILM peeling with ILM flap transposition for macular hole repair.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
Idiopathic full thickness macular holes lead to central defects in the visual field and to deterioration of the visual acuity. Introduction of internal limiting membrane (ILM) Peeling techniques lead to significant increase in closure rates of the macular holes.
Foveal sparing ILM peeling represents a surgical technique for macular hole repair with less surgical trauma with high closure rates of the macular hole, compared to classic ILM Peeling [Ho et al. 2014, Murphy et al 2019]. The combination of foveal sparing ILM Peeling with the established ILM flap techniques [Michalewska et al 2010 und 2015] offers the potential of better improvement in postsurgical visual acuity with the high closure rates, due to ILM flaps.
Aim of this study is to retrospectively examine the rate of postsurgical macular hole closure, development of central atrophy in the foveal area, and improvement of best corrected distant visual acuity in a group of patients having undergone foveal sparing ILM peeling with ILM flap transposition for macular hole repair.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
study group retrospective data analysis of patients that underwent after foveal sparing ILM peeling with ILM flap transposition for macular hole repair |
Other: retrospective data analysis
Macular hole closure rate, visual acuity and OCT
|
Outcome Measures
Primary Outcome Measures
- macular hole closure rate [up to 3 months after surgery]
postsurgical closure of macular holes is examined from routine postsurgical optical coherence tomography (OCT) imaging
Secondary Outcome Measures
- visual acuity [3 months]
visual acuity before and 3 months after surgery is examined
- OCT [3 months]
measurements of macular hole diameters from presurgical OCTs and restoration of the ellipsoid zone (EZ) 3 months after surgery is analysed
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Vitrectomy with foveal sparing ILM peeling with ILM flap transposition in the time period from 1.10.2020 to 8.7.2022
-
Age 18 and older
-
Idiopathic full thickness macular hole as indication for surgery
-
Full follow-up, including visual acuity testing and OCT preoperative, and 3 months after surgery.
Exclusion Criteria:
- Age <18 years
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hanusch Hospital, Department of Ophthalmology | Vienna | Austria | 1140 |
Sponsors and Collaborators
- Vienna Institute for Research in Ocular Surgery
Investigators
- Principal Investigator: Oliver Findl, Prof., head of departement
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- FSI