Cited 2 times in
Comparison of long-term visual and anatomical outcomes between internal limiting membrane flap and peeling techniques for macular holes with a propensity score analysis
DC Field | Value | Language |
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dc.contributor.author | 변석호 | - |
dc.date.accessioned | 2023-05-31T05:37:14Z | - |
dc.date.available | 2023-05-31T05:37:14Z | - |
dc.date.issued | 2023-04 | - |
dc.identifier.issn | 0950-222X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/194227 | - |
dc.description.abstract | Objectives: To compare visual and anatomical outcomes between internal limiting membrane (ILM) flap (IF) and peeling (IP) techniques for full-thickness macular holes (FTMHs). Methods: A retrospective case series with propensity-score matching (PSM). Patients with a minimum 12 months follow-up were divided into IF and IP groups and matched based on FTMH size and preoperative best-corrected visual acuity (BCVA). BCVA and optical coherence tomography (OCT) findings were obtained to assess outer retinal layer integrity, foveal thickness, and foveal displacement. Results: Twenty-six eyes were included in each group after PSM. The IF group showed significantly greater BCVA after 1 month, its corresponding change from preoperative BCVA, proportions of eyes with ellipsoid zone defects <250 μm after 1 month, and interdigitation zone restoration after 6 and 12 months (P = 0.007, 0.038, 0.048, 0.025, and 0.023, respectively), as well as less foveal gliosis after 1, 3, 6, and 12 months (P = 0.020, 0.017, 0.050, and 0.024, respectively). In the IP group, the mean outer nuclear layer thickness significantly decreased at 3 (P = 0.019) and 12 months (P = 0.016) compared to 1 month, and the foveal displacement toward the optic disc was significant after 1, 3, 6, and 12 months (P = 0.049, 0.006, 0.001, and <0.001, respectively). Conclusions: Compared to IP, IF promoted faster recovery of BCVA and outer retinal layers and was more protective against postoperative foveal thinning and displacement; hence, it should be considered for small and large FTMHs. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Nature Publishing Group | - |
dc.relation.isPartOf | EYE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Basement Membrane / surgery | - |
dc.subject.MESH | Epiretinal Membrane* / surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Propensity Score | - |
dc.subject.MESH | Retinal Perforations* / surgery | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Tomography, Optical Coherence | - |
dc.subject.MESH | Visual Acuity | - |
dc.subject.MESH | Vitrectomy / methods | - |
dc.title | Comparison of long-term visual and anatomical outcomes between internal limiting membrane flap and peeling techniques for macular holes with a propensity score analysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Ophthalmology (안과학교실) | - |
dc.contributor.googleauthor | Jay Jiyong Kwak | - |
dc.contributor.googleauthor | Suk Ho Byeon | - |
dc.identifier.doi | 10.1038/s41433-022-02103-5 | - |
dc.contributor.localId | A01849 | - |
dc.relation.journalcode | J00886 | - |
dc.identifier.eissn | 1476-5454 | - |
dc.identifier.pmid | 35585135 | - |
dc.identifier.url | https://www.nature.com/articles/s41433-022-02103-5 | - |
dc.contributor.alternativeName | Byeon, Suk Ho | - |
dc.contributor.affiliatedAuthor | 변석호 | - |
dc.citation.volume | 37 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1207 | - |
dc.citation.endPage | 1213 | - |
dc.identifier.bibliographicCitation | EYE, Vol.37(6) : 1207-1213, 2023-04 | - |
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