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Postoperative anatomical and functional outcomes of different stages of high myopia macular hole

Overview of attention for article published in BMC Ophthalmology, August 2015
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Title
Postoperative anatomical and functional outcomes of different stages of high myopia macular hole
Published in
BMC Ophthalmology, August 2015
DOI 10.1186/s12886-015-0098-8
Pubmed ID
Authors

Qing Shao, Huijuan Xia, Florian M. A. Heussen, Yanling Ouyang, Xiaodong Sun, Ying Fan

Abstract

Recently it was suggested that high myopia macular holes (HMMH) and macular holes accompanied by retinal detachment occur in the advanced stages of myopia traction maculopathy (MTM), while macular retinoschisis, shallow retinal detachment without holes, and lamellar macular holes occur in the early stages of MTM. Complete vitreous cortex removal associated with internal limiting membrane peeling is now widely used to treat HMMH. However, it remains uncertain at what HMMH stage patients would benefit most from surgical intervention. Our study was aimed to evaluate the postoperative anatomical changes and functional outcomes of high myopia macular holes (HMMH). Patients were retrospectively collected between March 2009 and August 2011. Before and 1st, 3rd, and 9th month after 23G pars plana vitrectomy, all patients underwent a complete ophthalmologic examination, spectral domain optical coherence tomography (SD-OCT) and MP-1. At each follow-up, best-corrected visual acuity (BCVA), photoreceptor inner and outer segments (IS/OS) defects, and retinal sensitivity (RS) were investigated. According to different preoperative macular hole morphologies, patients were divided into three groups: Group 1, macular hole with epiretinal membrane (ERM) traction and macular retinoschisis; Group 2, full-thickness macular hole (FTMH); Group 3, FTMH with subretinal fluid. 43 eyes from 43 patients met the inclusion criteria. The mean age was 60 years. BCVA and RS were significantly improved after vitrectomy; the mean IS/OS defect was significantly reduced. At 9 postoperative months, 11 of 43 (25.6 %) eyes achieved IS/OS junction integrity; 9 of these 11 (81.8 %) eyes belonged to Group 1, 2 (18.2 %) belonged to Group 2. Pars plana vitrectomy combined with ILM peeling and gas tamponade results in limited functional outcomes in patients with HMMH. The appearance of subretinal fluid indicates a worse prognosis for surgical intervention.

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Geographical breakdown

Country Count As %
Israel 1 2%
Unknown 44 98%

Demographic breakdown

Readers by professional status Count As %
Other 8 18%
Student > Postgraduate 7 16%
Researcher 5 11%
Student > Master 4 9%
Student > Bachelor 3 7%
Other 12 27%
Unknown 6 13%
Readers by discipline Count As %
Medicine and Dentistry 27 60%
Nursing and Health Professions 3 7%
Agricultural and Biological Sciences 3 7%
Unspecified 2 4%
Biochemistry, Genetics and Molecular Biology 1 2%
Other 2 4%
Unknown 7 16%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 August 2015.
All research outputs
#20,286,650
of 22,821,814 outputs
Outputs from BMC Ophthalmology
#2,080
of 2,346 outputs
Outputs of similar age
#220,960
of 264,084 outputs
Outputs of similar age from BMC Ophthalmology
#28
of 44 outputs
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