Decreased retinal sensitivity after internal limiting membrane peeling for macular hole surgery

Aims To compare the retinal sensitivity and frequency of microscotomas found by spectral domain optical coherence tomography (SD-OCT) combined with scanning laser ophthalmoscopy (SLO) microperimetry after idiopathic macular hole closure, in eyes that underwent internal limiting membrane (ILM) peelin...

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Veröffentlicht in:British journal of ophthalmology Jg. 96; H. 12; S. 1513 - 1516
Hauptverfasser: Tadayoni, Ramin, Svorenova, Ivana, Erginay, Ali, Gaudric, Alain, Massin, Pascale
Format: Journal Article
Sprache:Englisch
Veröffentlicht: BMA House, Tavistock Square, London, WC1H 9JR BMJ Publishing Group Ltd 01.12.2012
BMJ Publishing Group
BMJ Publishing Group LTD
Schlagworte:
Aged
Biological and medical sciences
Female
Follow-Up Studies
France - epidemiology
Humans
Imaging
Incidence
Macula
Male
Medical sciences
Middle Aged
Miscellaneous
Ophthalmology
Ophthalmoscopy
Optics
Original
Retina
Retina - pathology
Retina - physiopathology
Retina - surgery
Retinal Perforations - complications
Retinal Perforations - physiopathology
Retinal Perforations - surgery
Retinopathies
Retrospective Studies
Scotoma - epidemiology
Scotoma - etiology
Surgery
Surgical techniques
Tomography
Tomography, Optical Coherence
Treatment Surgery
Vision
Visual Acuity
Visual Field Tests
Visual Fields - physiology
Vitrectomy - methods
France
Eye disease
Sensitivity
Macular hole
Retinopathy
Treatment
Surgery
Retina
Maculopathy
Ophthalmology
Internal membrane
ISSN:0007-1161, 1468-2079, 1468-2079
Online-Zugang:Volltext
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Zusammenfassung:Aims To compare the retinal sensitivity and frequency of microscotomas found by spectral domain optical coherence tomography (SD-OCT) combined with scanning laser ophthalmoscopy (SLO) microperimetry after idiopathic macular hole closure, in eyes that underwent internal limiting membrane (ILM) peeling and eyes that did not. Methods This was a retrospective, non-randomised, comparative study. Combined SD-OCT and SLO microperimetry was performed in 16 consecutive eyes after closure of an idiopathic macular hole. A customised microperimetry pattern with 29 measurement points was used. The ILM was peeled in 8/16 eyes. The main outcome measure was mean retinal sensitivity. Results Mean retinal sensitivity (in dB) was lower after peeling: 9.80±2.35 dB with peeling versus 13.19±2.92 without (p=0.0209). Postoperative microscotomas were significantly more frequent after ILM peeling: 11.3±6.6 points with retinal sensitivity below 10 dB in eyes that underwent peeling versus 2.9±4.6 in those that did not (p=0.0093). Conclusions These results suggest that ILM peeling may reduce retinal sensitivity, and significantly increase the incidence of microscotomas. Until a prospective trial confirming or not these results, it seems justified to avoid peeling the ILM when its potential benefit seems minor or unproved, and when peeling is carried out, to limit the surface peeled to the bare minimum.
Bibliographie:local:bjophthalmol;96/12/1513
PMID:23077227
ArticleID:bjophthalmol-2012-302035
istex:EE17252139345D050F7463B50427FFF561B0BECB
ark:/67375/NVC-CP06X8GB-M
href:bjophthalmol-96-1513.pdf
RT and IS contributed equally.
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This paper was presented at the Association for Research in Vision and Ophthalmology Annual Meeting in May, 2011.
ISSN:0007-1161
1468-2079
1468-2079
DOI:10.1136/bjophthalmol-2012-302035