Functional and Morphological Changes after Macular Pucker Surgery: An Optical Coherence Tomography and Microperimetric Study
Purpose: To investigate the relationship among functional and morphological findings before and after macular pucker surgery. Methods: Thirty-eight eyes with idiopathic macular pucker that underwent 25-gauge vitrectomy and infracyanine green-assisted internal limiting membrane peeling were prospecti...
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| Veröffentlicht in: | Ophthalmologica (Basel) 2014-01, Vol.232 (4), p.200-206 |
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| creator | Santarelli, Martina Veritti, Daniele Dal Mas, Gloria Lanzetta, Paolo |
| description | Purpose: To investigate the relationship among functional and morphological findings before and after macular pucker surgery. Methods: Thirty-eight eyes with idiopathic macular pucker that underwent 25-gauge vitrectomy and infracyanine green-assisted internal limiting membrane peeling were prospectively enrolled. Main outcome measures were best-corrected visual acuity (BCVA), spectral-domain optical coherence tomography findings and MP-1 microperimetry findings. Results: Mean BCVA improvement was 0.34 logMAR (p < 0.0001). Mean central retinal thickness (CRT) reduction was 50 µm (p = 0.0041). Mean retinal sensitivity improvement was 0.9. Patients with a greater improvement of postoperative BCVA showed worse baseline BCVA (p < 0.001), shorter final inner/outer segment (IS/OS) interruption length (p = 0.039) and thinner final CRT (p = 0.035). Furthermore, final BCVA was correlated with baseline IS/OS interruption length (p = 0.001). Conclusion: Baseline BCVA, CRT and IS/OS integrity can be used to predict the functional outcomes after macular pucker surgery. |
| doi_str_mv | 10.1159/000365108 |
| format | Article |
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Methods: Thirty-eight eyes with idiopathic macular pucker that underwent 25-gauge vitrectomy and infracyanine green-assisted internal limiting membrane peeling were prospectively enrolled. Main outcome measures were best-corrected visual acuity (BCVA), spectral-domain optical coherence tomography findings and MP-1 microperimetry findings. Results: Mean BCVA improvement was 0.34 logMAR (p < 0.0001). Mean central retinal thickness (CRT) reduction was 50 µm (p = 0.0041). Mean retinal sensitivity improvement was 0.9. Patients with a greater improvement of postoperative BCVA showed worse baseline BCVA (p < 0.001), shorter final inner/outer segment (IS/OS) interruption length (p = 0.039) and thinner final CRT (p = 0.035). Furthermore, final BCVA was correlated with baseline IS/OS interruption length (p = 0.001). Conclusion: Baseline BCVA, CRT and IS/OS integrity can be used to predict the functional outcomes after macular pucker surgery.</description><identifier>ISSN: 0030-3755</identifier><identifier>EISSN: 1423-0267</identifier><identifier>DOI: 10.1159/000365108</identifier><identifier>PMID: 25301478</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Aged ; Female ; Follow-Up Studies ; Humans ; Macula Lutea - pathology ; Macula Lutea - physiopathology ; Macula Lutea - surgery ; Male ; Original Paper ; Postoperative Period ; Prospective Studies ; Retinal Perforations - pathology ; Retinal Perforations - surgery ; Tomography, Optical Coherence - methods ; Treatment Outcome ; Visual Field Tests - methods ; Visual Fields - physiology ; Vitrectomy - methods</subject><ispartof>Ophthalmologica (Basel), 2014-01, Vol.232 (4), p.200-206</ispartof><rights>2014 S. Karger AG, Basel</rights><rights>2014 S. 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Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-c1fb8652f15f05cc47b8ebf7d902fed3fd0c5a33a7584dbe55bbd94a82b54ccc3</citedby><cites>FETCH-LOGICAL-c362t-c1fb8652f15f05cc47b8ebf7d902fed3fd0c5a33a7584dbe55bbd94a82b54ccc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2427,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25301478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santarelli, Martina</creatorcontrib><creatorcontrib>Veritti, Daniele</creatorcontrib><creatorcontrib>Dal Mas, Gloria</creatorcontrib><creatorcontrib>Lanzetta, Paolo</creatorcontrib><title>Functional and Morphological Changes after Macular Pucker Surgery: An Optical Coherence Tomography and Microperimetric Study</title><title>Ophthalmologica (Basel)</title><addtitle>Ophthalmologica</addtitle><description>Purpose: To investigate the relationship among functional and morphological findings before and after macular pucker surgery. Methods: Thirty-eight eyes with idiopathic macular pucker that underwent 25-gauge vitrectomy and infracyanine green-assisted internal limiting membrane peeling were prospectively enrolled. Main outcome measures were best-corrected visual acuity (BCVA), spectral-domain optical coherence tomography findings and MP-1 microperimetry findings. Results: Mean BCVA improvement was 0.34 logMAR (p < 0.0001). Mean central retinal thickness (CRT) reduction was 50 µm (p = 0.0041). Mean retinal sensitivity improvement was 0.9. Patients with a greater improvement of postoperative BCVA showed worse baseline BCVA (p < 0.001), shorter final inner/outer segment (IS/OS) interruption length (p = 0.039) and thinner final CRT (p = 0.035). Furthermore, final BCVA was correlated with baseline IS/OS interruption length (p = 0.001). Conclusion: Baseline BCVA, CRT and IS/OS integrity can be used to predict the functional outcomes after macular pucker surgery.</description><subject>Aged</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Macula Lutea - pathology</subject><subject>Macula Lutea - physiopathology</subject><subject>Macula Lutea - surgery</subject><subject>Male</subject><subject>Original Paper</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Retinal Perforations - pathology</subject><subject>Retinal Perforations - surgery</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Treatment Outcome</subject><subject>Visual Field Tests - methods</subject><subject>Visual Fields - physiology</subject><subject>Vitrectomy - methods</subject><issn>0030-3755</issn><issn>1423-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0UtPGzEQAGCrAjWB9sAdIUu5tIelfqz3wQ1FBSoFJRL0vPLa42Rhs17s9SESPx7DpjlUnCzPfDPSzCB0RsklpaL8RQjhmaCk-IKmNGU8ISzLj9A0hknCcyEm6MT7J0IiLulXNGGCE5rmxRS93oRODY3tZItlp_G9df3GtnbdqBiZb2S3Bo-lGcDhe6lCKx1eBfUcvw_BrcHtrvB1h5f9MBbYDTjoFOBHu7VrJ_vNbuzbKGd7cM0WBtco_DAEvfuGjo1sPXzfv6fo783vx_ldslje_plfLxLFMzYkipq6yAQzVBgilErzuoDa5LokzIDmRhMlJOcyF0WqaxCirnWZyoLVIlVK8VP0Y-zbO_sSwA_VtvEK2lZ2YIOvaJYSzoq8ZJHO_qNPNri4nQ9V8DKPi47q56jiUN47MFUfJ5NuV1FSvZ-kOpwk2ot9x1BvQR_kvxtEcD6CZ_m-0AM41M8-TS9Xd6Ooem34G2TpnJ4</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Santarelli, Martina</creator><creator>Veritti, Daniele</creator><creator>Dal Mas, Gloria</creator><creator>Lanzetta, Paolo</creator><general>S. 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Methods: Thirty-eight eyes with idiopathic macular pucker that underwent 25-gauge vitrectomy and infracyanine green-assisted internal limiting membrane peeling were prospectively enrolled. Main outcome measures were best-corrected visual acuity (BCVA), spectral-domain optical coherence tomography findings and MP-1 microperimetry findings. Results: Mean BCVA improvement was 0.34 logMAR (p < 0.0001). Mean central retinal thickness (CRT) reduction was 50 µm (p = 0.0041). Mean retinal sensitivity improvement was 0.9. Patients with a greater improvement of postoperative BCVA showed worse baseline BCVA (p < 0.001), shorter final inner/outer segment (IS/OS) interruption length (p = 0.039) and thinner final CRT (p = 0.035). Furthermore, final BCVA was correlated with baseline IS/OS interruption length (p = 0.001). Conclusion: Baseline BCVA, CRT and IS/OS integrity can be used to predict the functional outcomes after macular pucker surgery.</abstract><cop>Basel, Switzerland</cop><pub>S. 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| subjects | Aged Female Follow-Up Studies Humans Macula Lutea - pathology Macula Lutea - physiopathology Macula Lutea - surgery Male Original Paper Postoperative Period Prospective Studies Retinal Perforations - pathology Retinal Perforations - surgery Tomography, Optical Coherence - methods Treatment Outcome Visual Field Tests - methods Visual Fields - physiology Vitrectomy - methods |
| title | Functional and Morphological Changes after Macular Pucker Surgery: An Optical Coherence Tomography and Microperimetric Study |
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