Evidence map›Paper›PMID 37780038›Full record

ArticleDigital journal of ophthalmology : DJO2023

Macular hole repair: the effect of size and nonsupine posture on postoperative outcomes.

Efraim Berco, Raman Tuli, Nirojini Sivachandran, Nir Shoham-Hazon, Assaf Hilely

Abstract read
In one paragraph

Article in Digital journal of ophthalmology : DJO, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Efraim Berco *Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.
Raman Tuli *Department of Ophthalmology, University of Ottawa, Ottawa, Ontario, Canada.
Nirojini SivachandranDepartment of Ophthalmology, University of Ottawa, Ottawa, Ontario, Canada.
Nir Shoham-HazonDalhousie Medical School, Halifax, Nova Scotia, Miramichi Campus, New Brunswick, Canada.
Assaf HilelyDivision of Ophthalmology, Tel Aviv Sourasky Medical Center affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative face-down positioning (FDP) for up to 2 weeks is believed to be necessary for successful closure of macular holes. FDP, however, can be disabling and uncomfortable and is a major burden for elderly patients. The aim of this study was to investigate how nonsupine posturing and macular hole size affect anatomical and functional success of macular hole closure. Methods: The medical records of patients with idiopathic macular holes who were treated surgically between 2016 and 2019 were reviewed retrospectively. Exclusion criteria included vitreomacular traction, previous retinal detachment, or chronic macular hole. Results: A total of 115 eyes of 115 patients were included. Average age was 69.2 ± 8.2 years; 63 patients (55%) were female. Anatomical success was achieved in 108 patients (94%) with a single operation. In small holes (<400 μm), closure was seen in 98% of cases (95% CI, 94%-100%); in large holes (≥400 μm), 90% of cases (95% CI, 76%-94%). Visual acuity remained stable or improved in 108 patients (92%). Average preoperative best-corrected visual acuity was 1.02 ± 0.45, with an overall improvement of 5 lines postoperatively. Small holes and large holes improved, with an average of 3 versus 7 lines gained, respectively. Conclusions: In this study cohort, favorable anatomical and functional outcomes were achieved without postoperative FDP. These outcomes are comparable to the traditional FDP approach.

Indexed as

Retinal DetachmentRetinal PerforationsAgedFemaleHumansMaleMiddle AgedPostureRetinaRetrospective StudiesTreatment OutcomeVitrectomy

Identifiers

PMID37780038
PMCPMC10539006

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