The changes of retinal thickness in idiopathic macular hole eyes after vitrectomy combined with internal limiting membrane peeling surgery_Chinese Journal of Ocular Fundus Diseases

Authors：

 HaoYuhua , JiaShijing , XiRuijie , 史俊芳 , 尚庆丽 , 马景学

Department of Ophthalmology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China;

Corresponding author：

HaoYuhua, Email: yuhuasjz@sina.com

Keywords：

Retinal perforations/surgery; Retina; Macula lutea; Tomography, optical coherence

DOI：

10.3760/cma.j.issn.1005-1015.2015.04.008

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Objective To observe the changes of retinal thickness in idiopathic macular hole eyes after vitrectomy combined with internal limiting membrane peeling. Methods The study included 40 eyes in 40 consecutive patients with idiopathic full-thickness macular holes who underwent vitrectomy and internal limiting membrane peeling. There were 10 males (10 eyes) and 30 female (30 eyes), the average age was (63.60±6.26) years, the average disease duration was (6.00±3.53) months. All patients were examined by spectral-domain optical coherence tomography to measure the foveal retinal thickness, parafoveal retinal thickness and every quadrant in 1, 3, 6 months after surgery. Results Compared foveal retinal thickness after 1 month with 3 month, the difference was significant (F=4.527, P=0.013). But foveal retinal thickness were not significantly different in 3 months and 6 months after surgery (F=2.031, P=0.971). The difference of average parafoveal retinal thickness between 1 month, 3 months and 6 months after surgery was not significant (F=2.011, P=0.139). The retinal thickness of the operated eyes were not significantly different from the normal fellow eyes in 1 month after surgery (t=0.651, P=0.519). And the foveal retinal thickness of the operated eyes and the normal fellow eyes are significantly different in 3 months and 6 months after surgery (t=-2.563, -2.524; P=0.015, 0.016). The thickness of temporal were thicker than other quadrant in 1 month, 3months and 6 months after surgery (t=-3.701, -4.612, -4.125; P=0.014, 0.006, 0.009). Conclusion There is a transient increase in the foveal retinal thickness after macular hole surgery.

Citation： HaoYuhua, JiaShijing, XiRuijie. The changes of retinal thickness in idiopathic macular hole eyes after vitrectomy combined with internal limiting membrane peeling surgery. Chinese Journal of Ocular Fundus Diseases, 2015, 31(4): 344-347. doi: 10.3760/cma.j.issn.1005-1015.2015.04.008 Copy

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3.	Eckardt C, Eckardt U, Groos S, et al. Removal of the internal limiting membrane in macular holes:clinical and morphological findings[J]. Ophthalmologe, 1997, 94(8):545-551.
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5.	Okita K, Ogino N, Shirai M, et al. Internal limiting-membrane peeling for idiopathic epiretinal membrane: one-year course of visual acuity, retinal sensitivity and foveal thickness [J]. Atarashii Ganka, 2000,17(6):1437-1440.
6.	Gass JD.Idiopathic senile macular hole:its early stages and pathogenesis[J].Arch Ophthalmol,1988,106(5):629-639.
7.	Shimozono M, Oishi A, Hata M, et al. Restoration of the photoreceptor outer segment and visual outcomes after macular hole closure: spectral-domain optical coherence tomography analysis [J]. Graefe's Arch Clin Exp Ophthalmol,2011,249(10):1469-1476.
8.	Chalam KV, Murthy RK, Gupta SK,et al. Foveal structure defined by spectral domain coherence tomography correlates with visual function after macular hole surgery[J].Eur J Ophthalmol,2010,20(3):572-577.
9.	张钊填,魏雁涛,黄雄高,等.影响特发性黄斑裂孔微创玻璃体切割手术后视力预后的相关因素研究[J].中华眼底病杂志,2013,29(2):126-130.
10.	Kasuga Y, Arai J, Akimoto M, et al. Optical coherence tomograghy to confirm early closure of macular holes[J].Am J Ophthalmol,2000,130(5):675-676.
11.	Christensen UC, Kroyer K, Sander B, et al. Macular morphology and visual acuity after macular hole surgery with or without internal limiting membrane peeling[J].Br J Ophthalmol, 2010,94(1):41-47.
12.	Kumagai K, Ogino N, Furukawa M,et al. Retinal thickness after vitrectomy and internal limiting membrane peeling for macular hole and epiretinal membrane[J].Clinl Ophthalmol, 2012,6:679-688.
13.	Ohta K, Sato A, Fukui E.Retinal thickness in eyes with idiopathic macular hole[J]. Graefe's Arch Clin Exp Ophthalmol, 2013,251(5):1273-1279.

1. Kelly NE, Wendel RT.Vitreous surgery for idiopathic macular holes:results of a pilotstudy [J]. Arch Ophthalmol,1991,109(5):654-659.
2. Ryan EH Jr, Gilbert HD. Results of surgical treatment of recent-onset full-thickness idiopathic macular holes[J]. Arch Ophthalmol, 1994, 112(12):1545-1553.
3. Eckardt C, Eckardt U, Groos S, et al. Removal of the internal limiting membrane in macular holes:clinical and morphological findings[J]. Ophthalmologe, 1997, 94(8):545-551.
4. Terasaki H, Miyake Y, Nomura R, et al. Focal macular ERGs in eyes after removal of macular ILM during macular hole surgery[J]. Invest Ophthalmol Vis Sci, 2001,42(1):229-234.
5. Okita K, Ogino N, Shirai M, et al. Internal limiting-membrane peeling for idiopathic epiretinal membrane: one-year course of visual acuity, retinal sensitivity and foveal thickness [J]. Atarashii Ganka, 2000,17(6):1437-1440.
6. Gass JD.Idiopathic senile macular hole:its early stages and pathogenesis[J].Arch Ophthalmol,1988,106(5):629-639.
7. Shimozono M, Oishi A, Hata M, et al. Restoration of the photoreceptor outer segment and visual outcomes after macular hole closure: spectral-domain optical coherence tomography analysis [J]. Graefe's Arch Clin Exp Ophthalmol,2011,249(10):1469-1476.
8. Chalam KV, Murthy RK, Gupta SK,et al. Foveal structure defined by spectral domain coherence tomography correlates with visual function after macular hole surgery[J].Eur J Ophthalmol,2010,20(3):572-577.
9. 张钊填,魏雁涛,黄雄高,等.影响特发性黄斑裂孔微创玻璃体切割手术后视力预后的相关因素研究[J].中华眼底病杂志,2013,29(2):126-130.
10. Kasuga Y, Arai J, Akimoto M, et al. Optical coherence tomograghy to confirm early closure of macular holes[J].Am J Ophthalmol,2000,130(5):675-676.
11. Christensen UC, Kroyer K, Sander B, et al. Macular morphology and visual acuity after macular hole surgery with or without internal limiting membrane peeling[J].Br J Ophthalmol, 2010,94(1):41-47.
12. Kumagai K, Ogino N, Furukawa M,et al. Retinal thickness after vitrectomy and internal limiting membrane peeling for macular hole and epiretinal membrane[J].Clinl Ophthalmol, 2012,6:679-688.
13. Ohta K, Sato A, Fukui E.Retinal thickness in eyes with idiopathic macular hole[J]. Graefe's Arch Clin Exp Ophthalmol, 2013,251(5):1273-1279.

Chinese Journal of Ocular Fundus Diseases

The changes of retinal thickness in idiopathic macular hole eyes after vitrectomy combined with internal limiting membrane peeling surgery

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