ArticleOphthalmology science2026
Postoperative Dynamics of Full-Thickness Macular Holes: Insights from High-Resolution OCT Under Gas Tamponade.
Article in Ophthalmology science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Long-Term Structural and Functional Restoration of the Retina After Inverted Internal Limiting Membrane Flap Surgery for Idiopathic Full-Thickness Macular Holes.Diagnostics (Basel, Switzerland) · 2026Article
- A New Era in Early Postoperative OCT: Swept-Source Versus Spectral-Domain in Gas-Filled Eyes.Diagnostics (Basel, Switzerland) · 2026Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Purpose: To characterize early healing processes of full-thickness macular holes (MHs) after pars plana vitrectomy (PPV) with inverted internal limiting membrane (ILM) flap using high-resolution swept-source OCT (SS-OCT) under gas tamponade. Design: Prospective, single-center, interventional, multisurgeon consecutive case series. Subjects: Consecutive eyes with idiopathic full-thickness MHs undergoing PPV with the inverted ILM flap technique. Methods: All eyes underwent standardized 25-gauge PPV with temporal inverted ILM flap and 14% octafluoropropane (C3F8) gas tamponade. Pre- and postoperative assessment included high-resolution SS-OCT at predefined intervals from immediately after surgery through 3 months, enabling sequential in vivo evaluation of early and late morphologic changes under gas tamponade. Main Outcome Measures: Evaluated features included MH diameter, ILM flap position, hyperreflective bridging tissue, and integrity of the external limiting membrane (ELM) and ellipsoid zone. Closure rates and best-corrected visual acuity (BCVA) were analyzed relative to early SS-OCT findings. Results: Swept-source OCT imaging succeeded in all 32 eyes despite the gas-filled vitreous cavity. Macular hole closure was documented in 22 eyes (67%) by day 1, 29 eyes (88%) by week 1, and 30 eyes (94%) by month 1. Early intraretinal hyperreflectivity was observed in 30 eyes (94%), correlating with successful closure; its absence was noted in the delayed cases. External limiting membrane regeneration was significantly associated with better BCVA. The mean BCVA improved from 0.89 ± 0.38 logarithm of the minimum angle of resolution at baseline to 0.47 ± 0.36 logarithm of the minimum angle of resolution at 3 months ( Conclusions: Swept-source OCT enables reliable visualization of early MH repair dynamics under gas, revealing potential biomarkers-such as hyperreflective tissue and early ELM restoration-that might predict closure and functional recovery. These findings could suggest that Müller cell activation and gliosis play an active role in scaffolding photoreceptor realignment, recapitulating developmental foveation. Early SS-OCT biomarkers may therefore guide individualized postoperative management. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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