Original articleLong-term follow-up of indocyanine green–assisted peeling of the retinal internal limiting membrane during vitrectomy surgery for idiopathic macular hole repair
Section snippets
Patient selection
Patients who presented to the retinal service at the Cincinnati Eye Institute with a stage 2, 3, or 4 idiopathic macular hole were considered for entry into our study. Inclusion criteria were an unequivocal stage 2, 3, or 4 idiopathic macular hole; a desire for surgery to attempt hole closure; and clinical follow-up of at least 1 year. Exclusion criteria included diabetic retinopathy and previous intraocular surgery, except for uneventful cataract extraction.
There were 16 eyes from our initial
Results
One hundred fourteen patients (121 eyes) with stage 2, 3, or 4 idiopathic macular holes were enrolled. The average age of the patients was 69 years (range, 51–85). Idiopathic stage 2 macular holes were present in 14 eyes (12%). Idiopathic stage 3 macular holes were present in 85 eyes (70%). Idiopathic stage 4 macular holes were present in 22 eyes (18%). The median reported macular hole duration was 3 months (range, 1–120). At the time of vitrectomy surgery, 29 eyes (24%) were pseudophakic, 56
Discussion
The purpose of this study is to report our long-term experience and outcomes with intraoperative ICG-assisted peeling of the retinal ILM for macular hole repair. To minimize the effects of confounding variables, we report herein only patients who met the selection criteria of unequivocal idiopathic stage 2, 3, or 4 macular holes; no diabetic retinopathy; and completion of at least 1 year of follow-up. As such, this article includes outcomes for some but not all of the patients reported in our
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Manuscript no. 240089.
The authors received no public or private financial support pertaining to the information published in this article.