Evidence map›Paper›PMID 26307540›Full record

ArticleBMC ophthalmology2015

Is it necessary to cover the macular hole with the inverted internal limiting membrane flap in macular hole surgery? A case report.

Chung-yee Chung, David Sai-hung Wong, Kenneth Kai-wang Li

Abstract readCase Reports
In one paragraph

Article in BMC ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Floating flap of internal limiting membrane in myopic macular hole surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2018
    Article
  9. Article
  10. Article
  11. Free ILM patch transplantation for recalcitrant macular holes; should we save some internal limiting membrane for later?Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Chung-yee ChungDepartment of Ophthalmology, United Christian Hospital, Room A, 1/F, Block G, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong. chungchungyee@gmail.com.
David Sai-hung WongDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Room 301, Level 3, Block B, Cyberport 4, 100 Cyberport Road, Hong Kong, Hong Kong. shdwong@hku.hk.
Kenneth Kai-wang LiDepartment of Ophthalmology, United Christian Hospital, Room A, 1/F, Block G, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong. kennethli@rcsed.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo report a case of late closure of idiopathic full-thickness macular hole (FTMH) after vitrectomy with the inverted internal limiting membrane (ILM) technique. CASE PRESENTATION: A 68-year-old lady with a stage IV FTMH underwent pars plana vitrectomy with 25 gauge plus transconjunctival system, ILM peeling and gas tamponade. The inverted ILM flap technique was adopted, except that no extra surgical manipulation was used to cover the macular hole with the ILM flap. Surgical outcome was monitored with serial optical coherence tomography (OCT). Complete closure of the FTMH with resolution of intraretinal cystic changes was confirmed on OCT at 16 months postoperatively. Visual acuity improved from a baseline level of 0.1 to 0.4.

conclusionIdiopathic macular hole closure could be delayed to beyond 1 year following the inverted ILM flap technique, especially if the macular hole was not covered with the ILM flap. Not all macular holes that fail to close in the early postoperative period need to be re-operated and there may be no risk of further visual deterioration.

Indexed as

Surgical FlapsVitrectomyAgedEndotamponadeEpiretinal MembraneFemaleFluorocarbonsHumansLens Implantation, IntraocularLow Tension GlaucomaPhacoemulsificationProne PositionRetinal PerforationsTomography, Optical CoherenceVisual AcuityFluorocarbonsperflutren

Identifiers

PMID26307540
PMCPMC4550061

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.