Clinical characteristics of full thickness macular holes that closed without surgery.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Uwaydat Sami H, Mansour Ahmad, Ascaso Francisco J, Parodi Maurizio Battaglia, Foster Robert, Smiddy William E, Schwartz Stephen G, Charbaji Abdulrazzak, Belotto Silvana, Jürgens Ignasi, Mateo Javier, Ellabban Abdallah A, Wu Lihteh, Figueroa Marta, Olivier Pascual Nuria, Lima Luiz H, Alsakran Wael A, Caliskan Kadayifcilar Sibel, Sinawat Suthasinee, Assi Alexandre, Mansour Hana A, Casella Antonio Marcello, Navea Amparo, Neila Elena Rodríguez, Saatci A Osman, Govindahari Vishal, Esteban Floria Olivia, Agarwal Komal, Bakkali El Bakkali Ismael, Alaman Angel Salinas, Larripa Sofia Fernandez, Rey Amanda, Pera Patricia, Bruix Lluís, Lopez-Guajardo Lorenzo, Pérez-Salvador Eduardo, Lara Medina Francisco Javier, Hrisomalos Frank N, Chhablani Jay, Arevalo J Fernando
Аннотация
METHODS: Retrospective collaborative study of FTMH that closed without surgical intervention.
RESULTS: A total of 78 patients (mean age 57.9 years) included 18 patients with blunt ocular trauma, 18 patients that received topical or intravitreal therapies and 42 patients with idiopathic FTMH. Mean±SD of the initial corrected visual acuity (VA) in logMAR improved from 0.65±0.54 to 0.34±0.45 (p<0.001) at a mean follow-up of 33.8±37.1 months. FTMH reopened in seven eyes (9.0%) after a mean of 8.6 months. Vitreomacular traction was noted in 12 eyes (15.8%), perifoveal posterior vitreous detachment in 42 (53.8%), foveal epiretinal membrane in 10 (12.8%), cystoid macular oedema (CME) in 49 (62.8%) and subretinal fluid (SRF) in 20 (25.6%). By multivariate analysis, initial VA correlated to the height (p<0.001) and narrowest diameter of the hole (p<0.001) while final VA correlated to the basal diameter (p<0.001). Time for closure of FTMH (median 2.8 months) correlated to the narrowest diameter (p<0.001) and the presence of SRF (p=0.001). Mean time for closure (in months) was 1.6 for eyes with trauma, 4.3 for eyes without trauma but with therapy for CME, 4.4 for eyes without trauma and without therapy in less than 200 µm in size and 24.7 for more than 200 µm.
CONCLUSION: Our data suggest an observation period in new onset FTMH for non-surgical closure, in the setting of trauma, treatment of CME and size <200 µm.