Evidence map›Paper›PMID 42192537›Full record

ArticleInternational journal of retina and vitreous2026

Macular micro vascular changes following macular hole repair: optical coherence tomography angiography study.

Mohamed Hussein Mohamed Moustafa Hussein, Ahmed Tamer Sayed Seif, Mahrous Hassan Abd El Ghany Shaheen, Islam Abdallah Mohalhal

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Article in International journal of retina and vitreous, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Mohamed Hussein Mohamed Moustafa HusseinOphthalmology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt. mhmm1004@hotmail.com.ORCID http://orcid.org/0009-0005-0047-3101
Ahmed Tamer Sayed SeifOphthalmology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Mahrous Hassan Abd El Ghany ShaheenOphthalmology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Islam Abdallah MohalhalRetina Department, Research Institute of Ophthalmology, Giza, Egypt.ORCID http://orcid.org/0000-0001-6648-0885

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo detect changes in the macular vascular profile after macular hole closure using modified classic internal limiting membrane (ILM) peeling and temporal ILM flap techniques and their correlation with the macular microstructure and visual function. PATIENTS AND

methodsProspective comparative study that included 50 eyes with primary full-thickness macular hole (FTMH). Group A (n = 25) was treated using the modified classic ILM peeling technique, whereas group B (n = 25) was treated using the temporal ILM flap technique. The main outcome measures were macular hole closure, macular vascular and structural repair, and visual recovery rates. We performed OCT and OCTA using spectral-domain OCT (SD-OCT). The chi-square test was used to compare qualitative data, and the independent t-test was used to compare quantitative data. Analysis of variance test (ANOVA) was used to compare paired groups, and Spearman's correlation coefficients were used to assess the correlations between quantitative parameters. P-value < 0.05.

resultsAnatomical closure was comparable between groups A (80%) and B (88%) (p = 0.44). Both groups showed significant improvement in BCVA (p < 0.001), with no intergroup differences. The reduction in the FAZ area in the DCP was significant in both groups (p < 0.001). Only Group A showed a significant reduction in the FAZ in the SCP (p < 0.001). Preoperative hole dimensions correlated negatively with baseline BCVA and positively with FAZ in the SCP. Central macular thickness was inversely correlated with FAZ in both plexuses postoperatively. The magnitude of change in the FAZ in the DCP correlated negatively with the BCVA in groups A and B (p = 0.034 and p = 0.043, respectively).

conclusionFree ILM peeling and temporal ILM flap techniques achieved comparable anatomical closure rates and sustained visual improvement. Preoperative hole dimensions are major determinants of structural remodeling and functional recovery, while OCTA reveals substantial microvascular rearrangement, especially within the DCP, which correlates with visual recovery. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

FAZ areaILM flapILM peelingMacular hole repairMacular microvascularOptical coherence tomography angiography

Identifiers

PMID42192537
PMCPMC13217651

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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.