Ophthalmic Research

Research Article

Feasibility and Safety of Intraoperative Optical Coherence Tomography-Guided Short-Term Posturing Prescription after Macular Hole Surgery

Lorusso M.a · Micelli Ferrari L.a · Cicinelli M.V.b · Nikolopoulou E.a · Zito R.a · Bandello F.b · Querques G.b · Micelli Ferrari T.a

Author affiliations

aDepartment of Ophthalmology, Ente Ecclesiastico Ospedale Generale Regionale “F. Miulli”, Acquaviva delle Fonti, Bari, Italy
bDepartment of Ophthalmology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy

Keywords: Intraoperative optical coherence tomographyMacular holeFace-down posturingVitreoretinal surgery

Related Articles for ""
Ophthalmic Res 2020;63:18–24
https://doi.org/10.1159/000501561

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Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: April 06, 2019
Accepted: June 04, 2019
Published online: August 20, 2019
Issue release date: January 2020

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 1

ISSN: 0030-3747 (Print)
eISSN: 1423-0259 (Online)

For additional information: https://www.karger.com/ORE

Abstract

Purpose: To assess closure rate and visual outcome of a court of patients with macular hole (MH) who underwent surgical repair with intraoperative optical coherence tomography (iOCT)-confirmed MH closure and short-term postoperative face-down posturing (FDP). Secondary aim was to assess the correlation between iOCT and postoperative OCT at day 1. Methods: Retrospective clinical study conducted in the Miulli Hospital Acquaviva delle Fonti (Italy), enrolling patients with idiopathic MH who underwent 25-G pars plana vitrectomy plus internal limiting membrane peeling. During surgery, closure of MH was confirmed by iOCT and short-term FDP (12–24 h, until day-1 visit) was prescribed. All patients had measurement of best-corrected visual acuity (BCVA) and spectral domain-OCT before the surgery and during follow-up (at 1 day, 1 month, 3 months). Results: Twenty-nine eyes of 29 patients (14 males, 62.1%) were enrolled in the study. MH mean size was 451.7 ± 139.7 µm and baseline BCVA was 0.77 ± 0.26 logarithm of the minimum angle of resolution (LogMAR). MH was confirmed to be closed in 100% of patients intraoperatively (iOCT) and at OCT during early follow-up (1–3 days). Mean time of FDP was 18 ± 2.6 h. At 3 months, MH closure rate was 93%; 2 eyes ­underwent secondary MH repair surgery. Final BCVA was 0.39 ± 0.22 LogMAR (p < 0.0001). Conclusion: iOCT-based confirmation of MH closure could be a safe and useful tool for prescribing short-term FDP after surgery, with high closure rate and no additional complication. The execution of an OCT in the immediate postoperative days could be potentially unnecessary.

© 2019 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: April 06, 2019
Accepted: June 04, 2019
Published online: August 20, 2019
Issue release date: January 2020

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 1

ISSN: 0030-3747 (Print)
eISSN: 1423-0259 (Online)

For additional information: https://www.karger.com/ORE

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