A Review of Surgical Outcomes and Advances for Macular Holes
The surgical outcomes of macular holes (MHs) have improved greatly in recent years. The closure rate is as high as 90–100%, but the outcomes of some special types of MHs remain unsatisfactory. Internal limiting membrane (ILM) peeling dramatically improves the anatomic success rate, but recent studie...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/7389412 |
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| author | Peng-peng Zhao Shuang Wang Nan Liu Zhi-min Shu Jin-song Zhao |
| author_facet | Peng-peng Zhao Shuang Wang Nan Liu Zhi-min Shu Jin-song Zhao |
| author_sort | Peng-peng Zhao |
| collection | DOAJ |
| description | The surgical outcomes of macular holes (MHs) have improved greatly in recent years. The closure rate is as high as 90–100%, but the outcomes of some special types of MHs remain unsatisfactory. Internal limiting membrane (ILM) peeling dramatically improves the anatomic success rate, but recent studies have found that it could also cause mechanical and subclinical traumatic changes to the retina. Dyes are widely used, and apart from indocyanine green (ICG), the toxicities of other dyes require further research. Face-down posturing is necessary for MHs larger than 400 μm, and the duration of this posture is determined by the type of tamponade and the case. The ellipsoid zone has been shown to be highly correlated with visual outcome and recovery. New surgical methods include the inverted ILM flap technique and the ILM abrasion technique. However, they require further research to determine their effectiveness. |
| format | Article |
| id | doaj-art-f1ddaa18c49541b18f65e326b4ba57ea |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-f1ddaa18c49541b18f65e326b4ba57ea2025-02-03T06:08:09ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/73894127389412A Review of Surgical Outcomes and Advances for Macular HolesPeng-peng Zhao0Shuang Wang1Nan Liu2Zhi-min Shu3Jin-song Zhao4Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Ophthalmology, The Third People’s Hospital of Chengdu, Chengdu, ChinaDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun, ChinaThe surgical outcomes of macular holes (MHs) have improved greatly in recent years. The closure rate is as high as 90–100%, but the outcomes of some special types of MHs remain unsatisfactory. Internal limiting membrane (ILM) peeling dramatically improves the anatomic success rate, but recent studies have found that it could also cause mechanical and subclinical traumatic changes to the retina. Dyes are widely used, and apart from indocyanine green (ICG), the toxicities of other dyes require further research. Face-down posturing is necessary for MHs larger than 400 μm, and the duration of this posture is determined by the type of tamponade and the case. The ellipsoid zone has been shown to be highly correlated with visual outcome and recovery. New surgical methods include the inverted ILM flap technique and the ILM abrasion technique. However, they require further research to determine their effectiveness.http://dx.doi.org/10.1155/2018/7389412 |
| spellingShingle | Peng-peng Zhao Shuang Wang Nan Liu Zhi-min Shu Jin-song Zhao A Review of Surgical Outcomes and Advances for Macular Holes Journal of Ophthalmology |
| title | A Review of Surgical Outcomes and Advances for Macular Holes |
| title_full | A Review of Surgical Outcomes and Advances for Macular Holes |
| title_fullStr | A Review of Surgical Outcomes and Advances for Macular Holes |
| title_full_unstemmed | A Review of Surgical Outcomes and Advances for Macular Holes |
| title_short | A Review of Surgical Outcomes and Advances for Macular Holes |
| title_sort | review of surgical outcomes and advances for macular holes |
| url | http://dx.doi.org/10.1155/2018/7389412 |
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