| Effect of Internal Limiting Membrane Peeling in Idiopathic Macular Holes Stage 3, 4. |
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Yong Sun Kim, Yong Baek Kim |
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Department of Ophthalmology, College of Medicine, Chungnam National University, Taejon, Korea. |
| 특발성 황반원공 3 , 4 기에서 망막내경계막 제거의 효과 |
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김용선(Yong Sun Kim),김용백(Yong Baek Kim) |
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| Abstract |
PURPOSE
The purpose of this study was to assess the surgical results of internal limiting membrane peeling during pars plana vitrectomy for the treatment of idiopathic macular holes. METHODS: Ten patients(10 eyes) with idiopathic macular hole stage 3 or 4 underwent pars plana vitrectomy with peeling of the macular internal limiting membrane, and total fluid-gas exchange, and were positioned face-down for 2 weeks. RESULTS: Anatomic success was achieved in 10 eyes(100%), and visual improvement of 2 or more lines on Han Chun Suk visual acuity chart was achieved in 5 eyes(50%). Eyes with symptoms of less than 6 months showed better functional recovery than eyes with symptoms of more than 6 months. Transmission electron microscopic examination showed internal limiting membrane in the removed specimens. Complications attributed to the operation included nucleosclerosis, transient high intraocular pressure, and retinal pigment epithelial degeneration. CONCLUSIONS: Internal limiting membrane peeling may be a useful adjunct for the successful macular hole surgery. |
| Key Words:
Internal limiting membrane;Macular hole;Surgery |
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