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31. Internationaler Kongress der Deutschen Ophthalmochirurgen (DOC)

14.06. - 16.06.2018, Nürnberg

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Vitrectomy with the Inverted LM Flap Technique in eyes with full-thickness macular hole coexisting with drusen

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  • Zofia Michalewska - Ophthalmic Clinic Jasne Blonia, Lodz, Polen
  • Jerzy Nawrocki - Ophthalmic Clinic Jasne Blonia, Lodz, Polen

31. Internationaler Kongress der Deutschen Ophthalmochirurgen. Nürnberg, 14.-16.06.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. DocWK 3.5

doi: 10.3205/18doc086, urn:nbn:de:0183-18doc0866

Published: June 13, 2018

© 2018 Michalewska et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Purpose: To present effects of the inverted internal limiting membrane (ILM) flap technique in full-thickness macular holes (FTMH) coexisting with drusen.

Methods: A retrospective observational case series.

Our database was retrospectively reviewed in order to spot patients with the simultaneous diagnosis of drusen and full-thickness macular hole. 18 of 12 patients (mean age 68 years) were included. Vitrectomy with the inverted ILM flap technique was performed. Inclusion criteria were: full-thickness macular hole, drusen, vitrectomy performed and spectral domain optical coherence tomography (SD OCT) (Copernicus HR, Optopol, Poland) or swept source OCT (Triton, Topcon, Japan) before surgery, then one week (±3 days), one month (±1 week), three (±1 month), six (±1 month), twelve (±2 months) and 18-36 months after surgery.

Main outcome measures: closure of macular hole and visual acuity 18-36 months after vitrectomy.

Results: Mean minimum macular hole diameter: 493 µm (135 - 1052 µm). Mean maximum macular hole diameter: 1072 µm (590 - 1745 µm). Macular hole was closed in sixteen eyes after first surgery and in all eyes after second surgery. Improvement of visual acuity was statistically significant (P = 0.05), but there was no statistical significant correlation observed between initial macular hole diameters and final visual acuity (P > 0.1).

Conclusion: The inverted ILM flap technique improves anatomical and functional results in eyes with coexisting drusen and FTMH.