TITLE

Sustained postoperative face-down positioning is unnecessary for successful macular hole surgery

AUTHOR(S)
R A Mittra
PUB. DATE
May 2009
SOURCE
British Journal of Ophthalmology;May2009, Vol. 93 Issue 5, p664
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
AIM: To determine the rate of successful macular hole closure with 1-day postoperative prone positioning METHODS: Multicentre review of all consecutive cases of stage 3 and 4 macular hole surgery performed during a 15-month period employing 1-day postoperative face-down positioning regimen. Cataract surgery was not routinely combined with macular hole surgery. Internal limiting membrane peeling was employed in all but seven eyes. Either SF6 or C3F8 gas tamponade was used. The primary outcome assessed was the rate of hole closure. RESULTS: 56 eyes of 53 patients were identified. 79% of eyes had stage 3 macular holes, and 39 of 56 (70%) eyes were phakic at the time of surgery. The mean preoperative logMAR vision was 0.74 (∼20/100 Snellen) and mean postoperative logMAR vision was 0.41 (∼20/50 Snellen) with a mean follow-up period of 5.2 months. Macular hole closure was achieved in 52 eyes (93%) with one operation. CONCLUSION: Sustained postoperative face-down positioning may not be necessary for successful macular hole closure, since 93% of eyes achieved hole closure with prone positioning for only 1 day.
ACCESSION #
38329896

 

Related Articles

  • Chopping techniques beneficial for nucleus removal. Devgan, Uday // Ocular Surgery News;2/25/2008, Vol. 26 Issue 4, p57 

    The article discusses the benefit of chopping techniques in the removal of the nucleus. Following this procedure, smaller segments can be easily removed with little phaco energy required. The basic idea of these techniques is holding the nucleus with the phaco probe while the chopping instrument...

  • Study: Coaxial microincision cataract surgery, conventional technique yield similar outcomes. Master, Joseph // Ocular Surgery News;4/10/2008, Vol. 26 Issue 7, p42 

    The article discusses research being done on the effectiveness of the coaxial microincision technique for cataract surgery. It references to a study by André Alexandre Dosso and colleagues published in the February 2008 issue of the "Journal of Cataract & Refractive Surgery." Key findings...

  • Incidence and visual outcome of acute endophthalmitis after cataract surgery—the experience of an eye department in Scotland. Z I Carrim // British Journal of Ophthalmology;Jun2009, Vol. 93 Issue 6, p721 

    AIM: Endophthalmitis remains one of the most dreaded complications of modern cataract surgery. Its incidence in the UK has been estimated but accurate published data on the incidence at a regional level are scarce. This audit examines the incidence and visual outcome of endophthalmitis from a...

  • Cataract Symptom Scale: clarifying measurement. V K Gothwal // British Journal of Ophthalmology;Dec2009, Vol. 93 Issue 12, p1652 

    AIM: Previous psychometric evaluation of the Cataract Symptom Scale (CSS) focused on classic assessments of reliability and validity. The aim was to investigate the psychometric properties of the CSS using the Rasch measurement model. METHODS: 243 patients drawn from the Flinders Eye Centre...

  • Rapid Response of Cystoid Macular Edema Related to Nd:YAG Laser Capsulotomy to 0.5% Ketorolac. Lee, Michael S.; Lass, Jonathan H. // Ophthalmic Surgery, Lasers & Imaging;Mar/Apr2004, Vol. 35 Issue 2, p162 

    A 68-year-old woman who had had cataract surgery several years previously presented with decreasing visual acuity and posterior capsular opacification. She underwent an Nd:YAG laser capsulotomy, but developed decreased visual acuity secondary to cystoid macular edema 2 months after the...

  • Thoughts on transition to bimanual phaco. Miller, Robert B. // Ophthalmology Times;4/15/2005, Vol. 30 Issue 8, p30 

    Discusses the benefits of the use of bimanual phacoemulsification in cataract surgery. Absence of an "unapproachable" sub-incisional location; Issues that have arisen in the transition to bimanual phacoemulsification; Ability to eliminate a single, hard-to-reach subincisional angle; Inclusion of...

  • What does 'bimanual' surgery really mean? Packer, Mark; Fine, I. Howard; Hoffman, Richard S. // Ophthalmology Times;9/15/2005, Vol. 30 Issue 18, p22 

    Looks at the evolution of cataract surgery terminology. Examples of incorrect application of several terms used to describe cataract extraction; Application of the term "bimanual" to phacoemulsification; Use of the term "bimanual micro incision (BMMI) phacoemulsification; Advantages of BMMI...

  • Causes of cataract surgery malpractice claims in England 1995–2008. Nadeem Ali // British Journal of Ophthalmology;Apr2011, Vol. 95 Issue 4, p490 

    AIMS: To analyse the causes of malpractice claims related specifically to cataract surgery in the National Health Service in England from 1995 to 2008. METHODS: All the malpractice claims related to cataract surgery from 1995 to 2008 from the National Health Service Litigation Authority were...

  • Cataract surgical coverage and outcome in the Tibet Autonomous Region of China. Bassett, K. L.; Noertjojo, K.; Liu, L.; Wang, F. S.; Tenzing, C; Wilkie, A.; Sankingelo, M.; Courfright, P. // British Journal of Ophthalmology;Jan2005, Vol. 89 Issue 1, p5 

    Background: A recently published, population based survey of the Tibet Autonomous Region (TAR) of China reported on low vision, blindness, and blinding conditions. This paper presents detailed findings from that survey regarding cataract, including prevalence, cataract surgical coverage,...

  • Capsular Block Syndrome in a Case With Excessive Cortical Remnants. Baykara, Mehmet; Ertürk, Haluk; Özçetin, Hikmet // Ophthalmic Surgery, Lasers & Imaging;Jul/Aug2003, Vol. 34 Issue 4, p308 

    Ten days after cataract extraction with phacoemulsification and in-the-bag acrylic intraocular lens implantation, capsular block syndrome developed in the right eye of a 62-year-old man. Aspiration of the swollen cortical remnants resulted in resolution of the capsular block.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics