rss
Br J Ophthalmol 2006;90:1239-1241 doi:10.1136/bjo.2006.091777
  • Clinical science
    • Scientific reports

Relationship between macular hole size and the potential benefit of internal limiting membrane peeling

  1. R Tadayoni,
  2. A Gaudric,
  3. B Haouchine,
  4. P Massin
  1. Service d’Ophthalmologie, Hôpital Lariboisière, Université Paris 7, Paris, France
  1. Correspondence to: R Tadayoni Service d’Ophtalmologie, Hôpital Lariboisière, 2, Rue Ambroise Paré, 75010 Paris, France;ramin.tadayoni{at}lrb.aphp.fr
  • Accepted 13 May 2006

Abstract

Aim: To investigate the relationship between the size of macular holes and the possible benefit of internal limiting membrane (ILM) peeling.

Methods: 84 consecutive cases of idiopathic macular hole followed up for at least 3 months were included in this retrospective study. Surgery comprised pars plana vitrectomy, peeling of any epiretinal membrane, 17% C2F6 (hexafluoroethane) gas filling and 10 days of positioning. 36 eyes had ILM peeling. The main outcome measure was the macular hole closure rate checked by optical coherence tomography.

Results: The overall postoperative closure rate was 90.5%. For macular holes ≥400 μm in diameter, the rate was 100% with ILM peeling versus 73.3% without (p = 0.015). For smaller macular holes, the rates were 100% in both groups. Postoperative gain in visual acuity was not significantly different in eyes with ILM peeling and those without.

Conclusions: ILM peeling does not seem to be useful for macular hole <400 μm in diameter. Its likely benefit has to be investigated for larger macular hole sizes, for which the failure rate is higher.

Footnotes

  • Competing interests: None.

  • Published Online First 29 June 2006

This Article

  1. Abstract
  2. Full text
  3. PDF
  4. All Versions of this Article:
    1. bjo.2006.091777v1
    2. 90/10/1239 most recent

Responses

  1. Submit a response
  2. No responses published

Social bookmarking

Register for free content


Free sample
 This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of BJO.
View free sample issue >>

Free archive
The full back archive is now available for BJO. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006, back to volume 1 issue 1.
Register to access the free archive >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.