4.1 Article

Inverted internal limiting membrane-flap technique to treat a full-thickness macular hole complicating idiopathic macular telangiectasia type 2

Journal

EUROPEAN JOURNAL OF OPHTHALMOLOGY
Volume 31, Issue 2, Pages NP81-NP85

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1120672119886177

Keywords

Idiopathic macular telangiectasia type 2; full-thickness macular hole; inverted internal limiting membrane flap; optical coherence tomography; microperimetry

Categories

Ask authors/readers for more resources

The inverted internal limiting membrane-flap technique may be effective in treating full-thickness macular hole complicating idiopathic macular telangiectasia type 2, leading to closure of the macular hole, improved visual acuity, retinal sensitivity, and fixation stability. Microperimetry can be a useful tool to analyze functional changes in these patients post-surgery.
Background/purpose: Full-thickness macular hole is a complication of idiopathic macular telangiectasia type 2 with a low surgical closure rate and a poor functional recovery. We analyze morphologic and functional outcomes after an inverted internal limiting membrane-flap technique for full-thickness macular hole complicating idiopathic macular telangiectasia type 2 using optical coherence tomography and microperimetry. Case report: A 77-year-old man presented us complaining visual impairment in the left eye (20/40) due to a full-thickness macular hole complicating idiopathic macular telangiectasia type 2. The patient underwent vitrectomy with an inverted internal limiting membrane-flap technique and injection of 22% SF6 gas. Optical coherence tomography and functional analysis, including visual acuity test and microperimetry, were performed before surgery and over 3 months. Optical coherence tomography scans revealed macular hole closure at 1-month follow-up. Visual acuity and retinal sensitivity improved from 20/40 to 20/20 and from 13.1 to 14.9 dB, respectively. Fixation stability (bivariate contour ellipse area) improved from 2.02 to 1.58 deg(2), from 5.44 to 4.24 deg(2) and from 9.72 to 7.58 deg(2), at 68%, 95%, and 99% of fixation points, respectively. Conclusion: Inverted internal limiting membrane-flap technique may be an alternative approach in patients with full-thickness macular hole complicating diopathic macular telangiectasia type 2, and microperimetry may be a useful tool to analyze related functional changes.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.1
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Ophthalmology

Bacterial isolates and antimicrobial susceptibility pattern of ocular infection at a tertiary referral hospital in the South of Italy

Francesco D'Oria, Rosa Buonamassa, Tiziana Rizzo, Francesco Boscia, Giovanni Alessio, Silvana Guerriero

Summary: The purpose of this study was to determine the prevalence of bacterial and fungal infections in the eyes and evaluate their antibiotic susceptibility at a tertiary referral eye care hospital in Bari, Italy. The findings showed that bacterial infections, primarily caused by Gram-positive bacteria like Staphylococcus species, were the most common, followed by fungal infections. The study also revealed a high level of in vitro resistance to multiple antibiotics.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Article Ophthalmology

OCT-angiography follow-up of choroidal neovascularization treated with treat- and- extend aflibercept regimen to avoid over-treatment

Claudio Furino, Valeria Albano, Michela Mangione, Roberta Galati, Maria D'Addario, Michele Reibaldi, Francesco Boscia, Giovanni Alessio

Summary: This pilot study explores the use of optical coherence tomography angiography (OCT-A) in evaluating the dry macula of neovascular age-related macular degeneration (nAMD) treated with a treat-and-extend (T&E) aflibercept regimen. The study suggests that OCT-A may be useful in determining the optimal approach for adjusting injection intervals based on changes in CNV size.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Article Ophthalmology

Macular ganglion cell-inner plexiform layer defect patterns in multiple sclerosis patients without optic neuritis: A Spectral-Domain-Optical Coherence Tomography Cross-Sectional, Case-Control, Pilot Study

Valeria Albano, Rosanna Dammacco, Alessia Manni, Dario Sisto, Antonio Iaffaldano, Alberto Mavilio, Giovanni Alessio, Maria Trojano, Damiano Paolicelli

Summary: SD-OCT was used to evaluate the proportion of different macular ganglion cell-inner plexiform layer complex (mGCIP) defect patterns in multiple sclerosis patients without a history of optic neuritis (MSNON). The study found that a significant thinning of the mGCIP with inner defects was commonly observed in MSNON patients.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Review Ophthalmology

Polyhexamethylene biguanide hydrochloride (PHMB)-properties and application of an antiseptic agent. A narrative review

Alfredo Niro, Francesco Pignatelli, Matteo Fallico, Alessandra Sborgia, Fedele Passidomo, Samuele Gigliola, Annalisa Nacucchi, Giancarlo Sborgia, Giacomo Boscia, Giovanni Alessio, Francesco Boscia, Giuseppe Addabbo, Michele Reibaldi, Teresio Avitabile

Summary: The prevention and management of ocular surface infections pose great challenges for ophthalmologists, particularly due to the spread of antimicrobial resistance. Polyhexamethylene biguanide hydrochloride (PHMB) is a broad-spectrum antiseptic with excellent tolerance and a low-risk profile. Its physicochemical action on the phospholipid membrane and DNA replication or repair mechanism hinders the development of resistant bacterial strains.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Article Nutrition & Dietetics

Dietary profiling of physical frailty in older age phenotypes using a machine learning approach: the Salus in Apulia Study

Sara De Nucci, Roberta Zupo, Rossella Donghia, Fabio Castellana, Domenico Lofu, Simona Aresta, Vito Guerra, Ilaria Bortone, Luisa Lampignano, Giovanni De Pergola, Madia Lozupone, Rossella Tatoli, Giancarlo Sborgia, Sarah Tirelli, Francesco Panza, Tommaso Di Noia, Rodolfo Sardone

Summary: A study on the eating habits of older adults in the Mediterranean found that higher consumption of coffee and wine, as well as intake of PUFAs, zinc, and coumarins can protect against physical frailty in aging.

EUROPEAN JOURNAL OF NUTRITION (2023)

Correction Nutrition & Dietetics

Dietary profiling of physical frailty in older age phenotypes using a machine learning approach: the Salus in Apulia Study (vol 62, pg 1217, 2023)

Sara De Nucci, Roberta Zupo, Rossella Donghia, Fabio Castellana, Domenico Lofu, Simona Aresta, Vito Guerra, Ilaria Bortone, Luisa Lampignano, Giovanni De Pergola, Madia Lozupone, Rossella Tatoli, Giancarlo Sborgia, Sarah Tirelli, Francesco Panza, Tommaso Di Noia, Rodolfo Sardone

EUROPEAN JOURNAL OF NUTRITION (2023)

Article Ophthalmology

Management of unresolved optic disc pit maculopathy with human amniotic membrane patch implant: A case report

Giacomo Boscia, Giancarlo Sborgia, Alfredo Niro, Stefano Dore, Luca Landini, Giacomo Scotti, Francesco Boscia

Summary: We report a surgical technique involving human amniotic membrane (hAM) patch implant to treat unresolved Optic disc pit maculopathy (ODPM) after unsuccessful inverted Inner Limiting Membrane (ILM)-flap technique. The hAM patch remained detectable over the pit for the entire 6-months follow-up and the ODPM gradually resolved with partial visual acuity recovery.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Review Biology

Promising High-Tech Devices in Dry Eye Disease Diagnosis

Andrea De Luca, Alessandro Ferraro, Chiara De Gregorio, Mariateresa Laborante, Marco Coassin, Roberto Sgrulletta, Antonio Di Zazzo

Summary: Dry eye disease is a common and debilitating condition that affects millions of people worldwide. Recent advancements in diagnostic technology for DED have led to the development of several new devices.

LIFE-BASEL (2023)

Article Ophthalmology

Citrobacter koseri: A Cause of Silicone Oil Related Endophthalmitis after Post Pars Plana Vitrectomy

Luigi Sborgia, Valeria Albano, Giancarlo Sborgia, Francesco Boscia, Giovanni Alessio

Summary: We present a rare case of Citrobacter koseri culture-positive endophthalmitis in a postvitrectomy silicone oil-filled eye. The patient had undergone a vitrectomy with silicone oil tamponade previously. Culture tests of aqueous, silicone oil, and vitreous taps were positive for Citrobacter koseri. This rare condition is not well documented, but our case had successful outcomes with silicone oil removal, intraoperative intravitreal antibiotic injection, and silicone oil reinjection.

CASE REPORTS IN OPHTHALMOLOGICAL MEDICINE (2023)

Review Ophthalmology

Phakic intraocular Lens implantation in keratoconus patients

Ali Nowrouzi, Francesco D'Oria, Jorge L. Alio del Barrio, Jorge L. Alio

Summary: Background: Anterior and posterior chamber phakic intraocular lenses (pIOLs) implantation is a viable refractive surgical option for keratoconus patients with high anisometropia, contact lens intolerance, or a preference for spectacle and contact lens independence. They are effective in correcting anisometropia in stable keratoconus cases or following corneal procedures such as intrastromal corneal ring segments (ICRS), collagen cross-linking (CXL), and keratoplasty. Combined procedures with ICRS or topography/wavefront-guided transepithelial PRK (with or without CXL) can be done in conjunction with pIOLs implantation to improve visual acuity. Aim: To analyze the scientific evidence published within the last 10 years (from 2012 onwards) regarding the safety and efficacy of pIOLs for keratoconus patients' visual and refractive rehabilitation. Results: There were no randomized controlled trials, but satisfactory visual rehabilitation was achieved with both anterior and posterior chamber pIOLs, with good safety and efficacy. Conclusion: pIOLs implantation is a valid refractive therapeutic approach for correcting stable keratoconus with moderate-to-high refractive errors, especially anisometropia associated with regular or mildly irregular astigmatism, and good visual acuity.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Article Ophthalmology

Ocular surface in posterior segment surgery

Marco Coassin, Alessandro Arrigo, Federico Ricci, Raffaella Rosa, Roberto Gattegna, Alessandro Pupino, Jose Manuel Benitez Del Castillo, Stefano Bonini

Summary: The technological breakthroughs in mini-invasive vitreo-retinal surgery have improved the perioperative management and outcomes for millions of patients. Common procedures include vitrectomy, episcleral surgery, intravitreal injections, and laser photocoagulation. Postoperative side effects may include ocular surface disbalance and discomfort symptoms.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Article Ophthalmology

Visual Performance After Unilateral Implantation of an Extended Depth-of-Focus Intraocular Lens in Patients With Unilateral Cataract

Ali Nowrouzi, Jorge L. Alio del Barrio, Francesco D'Oria, Nabil Ragaei Kamel, Jorge L. Alio

Summary: The purpose of this study was to investigate the visual performance of patients with unilateral cataracts after unilateral implantation of an extended depth-of-focus intraocular lens (IOL). The results showed that patients achieved good uncorrected distance visual acuity and corrected near visual acuity at 6 months postoperatively, and they reported satisfaction with the visual outcomes.

JOURNAL OF REFRACTIVE SURGERY (2023)

Article Ophthalmology

Clinical Retinal Image Quality of a Non-diffractive Wavefront-Shaping Extended Depth of Focus (Vivity) Intraocular Lens

Saad Abdulrahman J. Al-Amri, Jorge L. Alio, Roberto Milan-Castillo, Francesco D'Oria, Antonio Martinez-Abad, Pilar Yebana, Nuria Subirana, Ziyad Al-Harbi, Ana B. Plaza-Puche, Jorge L. Alio del Barrio

Summary: This study evaluated the clinical retinal optical image quality after implantation of an extended depth of focus intraocular lens (EDOF IOL) and compared it with monofocal and trifocal IOLs. The results showed that the EDOF and monofocal IOLs had comparable retinal image quality, while the trifocal IOLs were most affected by residual refractive errors.

JOURNAL OF REFRACTIVE SURGERY (2023)

No Data Available