Efficacy of Macular Hole Surgery in Patients with Idiopathic Macular Telangiectasia Type 2
To compare visual acuity (VA) and OCT outcomes in patients with idiopathic macular telangiectasia (IMT) type 2 who underwent pars plana vitrectomy (PPV) surgery for full-thickness macular holes (FTMHs) versus those who elected to be medically managed (MM) without surgery. Comparative retrospective c...
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| Veröffentlicht in: | Ophthalmology retina 2020-05, Vol.4 (5), p.494-497 |
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| creator | Miller, Alexander G. Chandra, Rohit Pophal, Charles Schartman, Jerome P. Hornik, Joan H. Miller, David G. |
| description | To compare visual acuity (VA) and OCT outcomes in patients with idiopathic macular telangiectasia (IMT) type 2 who underwent pars plana vitrectomy (PPV) surgery for full-thickness macular holes (FTMHs) versus those who elected to be medically managed (MM) without surgery.
Comparative retrospective case series.
Patients with IMT type 2 and FTMH.
We reviewed records within an 11-year period and collected data on VA, OCT changes, development of choroidal neovascularization, and length of follow-up. The VA measurements were standardized from Snellen to logarithm of the minimum angle of resolution units for statistical analysis. Two-sample t tests were used to analyze VA data. OCT changes were assessed by a single masked retinal specialist.
There were 12 eyes in the PPV group and 26 eyes in the MM group. There was no statistically significant VA improvement in either group between initial VA recording and last follow-up. The PPV group had no significant change in VA between the preoperative visit and the visits at 3 or 12 months. OCT scans improved by 1 step in 10 patients in the PPV group. None of the patients in the MM group had OCT improvement. Choroidal neovascularization developed in 1 eye in the PPV group and 5 eyes in the MM group.
There was no significant change in VA in patients who opted to have PPV to treat their IMT type 2 and FTMH compared with those who did not undergo surgery. OCT scans improved by qualitative judgment in patients who underwent surgery compared with those who opted for medical management. |
| doi_str_mv | 10.1016/j.oret.2019.11.017 |
| format | Article |
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Comparative retrospective case series.
Patients with IMT type 2 and FTMH.
We reviewed records within an 11-year period and collected data on VA, OCT changes, development of choroidal neovascularization, and length of follow-up. The VA measurements were standardized from Snellen to logarithm of the minimum angle of resolution units for statistical analysis. Two-sample t tests were used to analyze VA data. OCT changes were assessed by a single masked retinal specialist.
There were 12 eyes in the PPV group and 26 eyes in the MM group. There was no statistically significant VA improvement in either group between initial VA recording and last follow-up. The PPV group had no significant change in VA between the preoperative visit and the visits at 3 or 12 months. OCT scans improved by 1 step in 10 patients in the PPV group. None of the patients in the MM group had OCT improvement. Choroidal neovascularization developed in 1 eye in the PPV group and 5 eyes in the MM group.
There was no significant change in VA in patients who opted to have PPV to treat their IMT type 2 and FTMH compared with those who did not undergo surgery. OCT scans improved by qualitative judgment in patients who underwent surgery compared with those who opted for medical management.</description><identifier>ISSN: 2468-6530</identifier><identifier>EISSN: 2468-6530</identifier><identifier>DOI: 10.1016/j.oret.2019.11.017</identifier><identifier>PMID: 32063517</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Female ; Humans ; Male ; Middle Aged ; Retina - pathology ; Retinal Perforations - diagnosis ; Retinal Perforations - etiology ; Retinal Perforations - surgery ; Retinal Telangiectasis - complications ; Retinal Telangiectasis - diagnosis ; Retinal Telangiectasis - surgery ; Retrospective Studies ; Tomography, Optical Coherence ; Treatment Outcome ; Visual Acuity ; Vitrectomy - methods</subject><ispartof>Ophthalmology retina, 2020-05, Vol.4 (5), p.494-497</ispartof><rights>2019 American Academy of Ophthalmology</rights><rights>Copyright © 2019 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-eb57817c8f1dcd93207a3406d86a299929db015c9e5ea2f2c1ef01c05d979ab3</citedby><cites>FETCH-LOGICAL-c356t-eb57817c8f1dcd93207a3406d86a299929db015c9e5ea2f2c1ef01c05d979ab3</cites><orcidid>0000-0001-6210-8496</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32063517$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miller, Alexander G.</creatorcontrib><creatorcontrib>Chandra, Rohit</creatorcontrib><creatorcontrib>Pophal, Charles</creatorcontrib><creatorcontrib>Schartman, Jerome P.</creatorcontrib><creatorcontrib>Hornik, Joan H.</creatorcontrib><creatorcontrib>Miller, David G.</creatorcontrib><title>Efficacy of Macular Hole Surgery in Patients with Idiopathic Macular Telangiectasia Type 2</title><title>Ophthalmology retina</title><addtitle>Ophthalmol Retina</addtitle><description>To compare visual acuity (VA) and OCT outcomes in patients with idiopathic macular telangiectasia (IMT) type 2 who underwent pars plana vitrectomy (PPV) surgery for full-thickness macular holes (FTMHs) versus those who elected to be medically managed (MM) without surgery.
Comparative retrospective case series.
Patients with IMT type 2 and FTMH.
We reviewed records within an 11-year period and collected data on VA, OCT changes, development of choroidal neovascularization, and length of follow-up. The VA measurements were standardized from Snellen to logarithm of the minimum angle of resolution units for statistical analysis. Two-sample t tests were used to analyze VA data. OCT changes were assessed by a single masked retinal specialist.
There were 12 eyes in the PPV group and 26 eyes in the MM group. There was no statistically significant VA improvement in either group between initial VA recording and last follow-up. The PPV group had no significant change in VA between the preoperative visit and the visits at 3 or 12 months. OCT scans improved by 1 step in 10 patients in the PPV group. None of the patients in the MM group had OCT improvement. Choroidal neovascularization developed in 1 eye in the PPV group and 5 eyes in the MM group.
There was no significant change in VA in patients who opted to have PPV to treat their IMT type 2 and FTMH compared with those who did not undergo surgery. OCT scans improved by qualitative judgment in patients who underwent surgery compared with those who opted for medical management.</description><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retina - pathology</subject><subject>Retinal Perforations - diagnosis</subject><subject>Retinal Perforations - etiology</subject><subject>Retinal Perforations - surgery</subject><subject>Retinal Telangiectasis - complications</subject><subject>Retinal Telangiectasis - diagnosis</subject><subject>Retinal Telangiectasis - surgery</subject><subject>Retrospective Studies</subject><subject>Tomography, Optical Coherence</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><subject>Vitrectomy - methods</subject><issn>2468-6530</issn><issn>2468-6530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFPAjEQhRujEYL8AQ-mRy-snS7b3SZeDFEhwWgiJy9NaWehZGGx3dXw7y0BiSdPM4f33rz5CLkGlgADcbdKao9NwhnIBCBhkJ-RLh-KYiCylJ3_2TukH8KKMQYFFyJnl6STcibSDPIu-XgsS2e02dG6pC_atJX2dFxXSN9bv0C_o25D33TjcNME-u2aJZ1YV291s3TmZJhhpTcLh6bRwWk6222R8ityUeoqYP84e2T29DgbjQfT1-fJ6GE6MGkmmgHOs7yA3BQlWGNlrJbrdMiELYTmUkou7ZxBZiRmqHnJDWDJwLDMylzqedojt4fYra8_WwyNWrtgsIqNsG6D4vGKYCLPiijlB6nxdQgeS7X1bq39TgFTe6pqpfZU1Z6qAlCRajTdHPPb-RrtyfLLMAruDwKMT3459CqYiMugdT4SUbZ2_-X_AERiiCE</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Miller, Alexander G.</creator><creator>Chandra, Rohit</creator><creator>Pophal, Charles</creator><creator>Schartman, Jerome P.</creator><creator>Hornik, Joan H.</creator><creator>Miller, David G.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6210-8496</orcidid></search><sort><creationdate>202005</creationdate><title>Efficacy of Macular Hole Surgery in Patients with Idiopathic Macular Telangiectasia Type 2</title><author>Miller, Alexander G. ; Chandra, Rohit ; Pophal, Charles ; Schartman, Jerome P. ; Hornik, Joan H. ; Miller, David G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-eb57817c8f1dcd93207a3406d86a299929db015c9e5ea2f2c1ef01c05d979ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retina - pathology</topic><topic>Retinal Perforations - diagnosis</topic><topic>Retinal Perforations - etiology</topic><topic>Retinal Perforations - surgery</topic><topic>Retinal Telangiectasis - complications</topic><topic>Retinal Telangiectasis - diagnosis</topic><topic>Retinal Telangiectasis - surgery</topic><topic>Retrospective Studies</topic><topic>Tomography, Optical Coherence</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>Vitrectomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miller, Alexander G.</creatorcontrib><creatorcontrib>Chandra, Rohit</creatorcontrib><creatorcontrib>Pophal, Charles</creatorcontrib><creatorcontrib>Schartman, Jerome P.</creatorcontrib><creatorcontrib>Hornik, Joan H.</creatorcontrib><creatorcontrib>Miller, David G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology retina</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, Alexander G.</au><au>Chandra, Rohit</au><au>Pophal, Charles</au><au>Schartman, Jerome P.</au><au>Hornik, Joan H.</au><au>Miller, David G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Macular Hole Surgery in Patients with Idiopathic Macular Telangiectasia Type 2</atitle><jtitle>Ophthalmology retina</jtitle><addtitle>Ophthalmol Retina</addtitle><date>2020-05</date><risdate>2020</risdate><volume>4</volume><issue>5</issue><spage>494</spage><epage>497</epage><pages>494-497</pages><issn>2468-6530</issn><eissn>2468-6530</eissn><abstract>To compare visual acuity (VA) and OCT outcomes in patients with idiopathic macular telangiectasia (IMT) type 2 who underwent pars plana vitrectomy (PPV) surgery for full-thickness macular holes (FTMHs) versus those who elected to be medically managed (MM) without surgery.
Comparative retrospective case series.
Patients with IMT type 2 and FTMH.
We reviewed records within an 11-year period and collected data on VA, OCT changes, development of choroidal neovascularization, and length of follow-up. The VA measurements were standardized from Snellen to logarithm of the minimum angle of resolution units for statistical analysis. Two-sample t tests were used to analyze VA data. OCT changes were assessed by a single masked retinal specialist.
There were 12 eyes in the PPV group and 26 eyes in the MM group. There was no statistically significant VA improvement in either group between initial VA recording and last follow-up. The PPV group had no significant change in VA between the preoperative visit and the visits at 3 or 12 months. OCT scans improved by 1 step in 10 patients in the PPV group. None of the patients in the MM group had OCT improvement. Choroidal neovascularization developed in 1 eye in the PPV group and 5 eyes in the MM group.
There was no significant change in VA in patients who opted to have PPV to treat their IMT type 2 and FTMH compared with those who did not undergo surgery. OCT scans improved by qualitative judgment in patients who underwent surgery compared with those who opted for medical management.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32063517</pmid><doi>10.1016/j.oret.2019.11.017</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-6210-8496</orcidid></addata></record> |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Female Humans Male Middle Aged Retina - pathology Retinal Perforations - diagnosis Retinal Perforations - etiology Retinal Perforations - surgery Retinal Telangiectasis - complications Retinal Telangiectasis - diagnosis Retinal Telangiectasis - surgery Retrospective Studies Tomography, Optical Coherence Treatment Outcome Visual Acuity Vitrectomy - methods |
| title | Efficacy of Macular Hole Surgery in Patients with Idiopathic Macular Telangiectasia Type 2 |
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