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Prognostic factors in fluid–gas exchange after primary idiopathic macular hole surgery

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Abstract

Purpose

This retrospective study aimed to evaluate the prognostic factors associated with the success of fluid–gas exchange in patients who had undergone failed primary idiopathic macular hole (IMH) surgery.

Methods

In total, 19 eyes of 19 patients with failed IMH surgery who then underwent fluid–gas exchange were included. Of those, 18 eyes had macular hole (MH) closure (successful, 15 eyes; unsuccessful, 3 eyes). Demographics, pre-operative characteristics, and pre-procedural characteristics were assessed. The patients were divided into successful (U or V-type closure) and unsuccessful groups (W-type or unclosed), following fluid–gas exchange. One eye was unclosed after fluid–gas exchange; therefore, this patient underwent additional vitrectomy for MH closure (unsuccessful).

Results

The outcomes of the fluid–gas exchange were categorized as unclosed or as U-type, V-type, or W-type closure. None of the patients experienced complications after the procedure. The successful group showed a significantly lower pre-operative and pre-procedural minimum diameter, base diameter, and macular hole volume, and higher pre-operative and pre-procedural macular hole index, hole form factor, and tractional hole index values. Moreover, a better visual prognosis was observed in the successful group.

Conclusion

These findings suggest that indices predicting favorable results of primary surgery for IMH are useful for predicting the success of fluid–gas exchange in patients with failed primary MH surgery.

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Data availability

The datasets generated and/or analyzed in the present study are available from the corresponding author on reasonable request.

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Acknowledgements

This research was funded by the National Research Foundation of Korea grant [NRF-2019R1G1A1011559].

Funding

This research was funded by the National Research Foundation of Korea grant [NRF-2019R1G1A1011559]. The sponsors had no role in the design or conduct of this research.

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Authors and Affiliations

  1. Department of Ophthalmology, Keimyung University School of Medicine, 1095 Dalgubeol-daero, Dalseo-gu, Daegu, 42601, Republic of Korea

    You Hyun Lee, Soo Jin Lee, Ji Hye Jang & Yu Cheol Kim

Authors
  1. You Hyun Lee
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  2. Soo Jin Lee
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  3. Ji Hye Jang
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  4. Yu Cheol Kim
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Contributions

Conceptualization: YCK and YHL; Methodology: YCK and YHL; Formal Analysis: YCK; Investigation: SJL, JHJ, and YCK; Data Curation: SJL, JHJ, and YCK; Writing–Original Draft Preparation: YHL; Writing–Review & Editing: YCK and YHL; Supervision: YCK; Project Administration: YCK; Funding Acquisition: YCK.

Corresponding author

Correspondence to Yu Cheol Kim.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Consent to participate

Patient consent was waived because of the retrospective nature of the study.

Ethical approval

This retrospective study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Institutional Review Board of Keimyung University Dongsan Hospital (IRB no. 2020-12-069, 22 December 2020).

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Lee, Y.H., Lee, S.J., Jang, J.H. et al. Prognostic factors in fluid–gas exchange after primary idiopathic macular hole surgery. Int Ophthalmol 42, 2811–2818 (2022). https://doi.org/10.1007/s10792-022-02271-z

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  • DOI: https://doi.org/10.1007/s10792-022-02271-z

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