Macular hole treated by the inverted internal limiting membrane flap technique: case report
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F16%3A00066881" target="_blank" >RIV/00159816:_____/16:00066881 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/16:00094051
Result on the web
<a href="http://dx.doi.org/10.1007/s00717-016-0298-5" target="_blank" >http://dx.doi.org/10.1007/s00717-016-0298-5</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00717-016-0298-5" target="_blank" >10.1007/s00717-016-0298-5</a>
Alternative languages
Result language
angličtina
Original language name
Macular hole treated by the inverted internal limiting membrane flap technique: case report
Original language description
Pars plana vitrectomy with peeling of the internal limiting membrane is a standard surgical procedure for an idiopathic macular hole. However, it may not always be associated with a favorable functional and anatomical outcome. Further, with gas tamponade face-down posturing 90 % of the time for at least a week is recommended, which causes the patient discomfort and increases the risk of cataracts. A case of unilateral macular hole in a 74-year-old female patient with initial visual acuity of 0.3 treated by pars plana vitrectomy using an inverted membrane technique is presented. In this method, the internal limiting membrane is peeled off, but a remnant of the membrane attached to the margins of the macular hole is left in place. This membrane flap is then inverted upside-down to cover the macular hole. The facedown position was maintained only overnight. Six days after surgery optical coherence tomography showed a closed macular hole with restoration of the foveal depression and an intact external limiting membrane. Visual acuity improved to 0.5. To increase the percentage of final macular hole-closure it is important to search for new treatment options. An inverted flap technique may support the healing process at the macula and at the same time reduce the need for gas tamponade and postoperative positioning of the patient.
Czech name
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Czech description
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Classification
Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FF - ENT (ie. ear, nose, throat), ophthalmology, dentistry
OECD FORD branch
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Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2016
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
SPEKTRUM DER AUGENHEILKUNDE
ISSN
0930-4282
e-ISSN
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Volume of the periodical
30
Issue of the periodical within the volume
3
Country of publishing house
AT - AUSTRIA
Number of pages
4
Pages from-to
138-141
UT code for WoS article
000379263600007
EID of the result in the Scopus database
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