To compare the inverted flap and the subretinal aspiration technique for full-thickness macular hole (FTMH) surgery.
Forty consecutive eyes with a stage IV FTMH were randomly assigned into 2 treatment groups. After core vitrectomy and perimacular internal limiting membrane (ILM) peeling, in group A, the subretinal remnant macular fluid was aspirated with a 41-G cannula after the air-fluid exchange procedure, while in group B, the technique of an inverted ILM flap was completed. Differences in postoperative best-corrected visual acuity (BCVA) and occurrence of intraoperative or postoperative complications between the 2 groups were evaluated.
All FTMHs were closed after the first surgery with no intraoperative or postoperative complications. In group A, 16 patients (80%) showed improvement of BCVA and 4 (20%) showed stabilization. In group B, 12 patients (60%) had improved BCVA, while 6 (30%) remained stable and 2 (10%) worsened. Postoperative BCVA for group A was significantly better than for group B (p = 0.022).
The surgical techniques had similar rates of closure of FTMH, although BCVA outcomes were significantly better in the subretinal aspiration group.
Post author correction
Article Type: ORIGINAL RESEARCH ARTICLE
Article Subject: Vitreo SURG
AuthorsClaudio Iovino, Giulia Caminiti, Mario Miccoli, Francesco Nasini, Giamberto Casini, Enrico Peiretti
- • Accepted on 03/09/2017
- • Available online on 18/09/2017
This article is available as full text PDF.
- Iovino, Claudio [PubMed] [Google Scholar] 1
- Caminiti, Giulia [PubMed] [Google Scholar] 1
- Miccoli, Mario [PubMed] [Google Scholar] 2
- Nasini, Francesco [PubMed] [Google Scholar] 3
- Casini, Giamberto [PubMed] [Google Scholar] 3
- Peiretti, Enrico [PubMed] [Google Scholar] 1, * Corresponding Author (email@example.com)
Eye Clinic, Department of Surgical Science, University of Cagliari, Cagliari - Italy
Department of Clinical and Experimental Medicine, University of Pisa, Pisa - Italy
Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa - Italy