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Journal of Ophthalmology Volume 2017 ,2017-03-16
A New Sutureless Illuminated Macular Buckle Designed for Myopic Macular Hole Retinal Detachment
Clinical Study
Ahmed M. Bedda 1 Ahmed M. Abdel Hadi 1 Mohamed Lolah 1 Muhammad S. Abd Al Shafy 2
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DOI:10.1155/2017/6742164
Received 2016-10-21, accepted for publication 2016-12-05, Published 2016-12-05
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摘要

Purpose. To report the anatomic and visual results of a new sutureless illuminated macular buckle designed for patients with macular hole retinal detachment related to high myopia (MMHRD). Design. Prospective nonrandomized comparative interventional trial. Methods. Twenty myopic eyes of 20 patients (mean age, 51.4 years; range, 35–65 years) presenting with MMHRD with a posterior staphyloma, in whom the new buckle was used, were evaluated. The buckle used was assembled from a 5 mm wide sponge and a 7 mm wide silicone tire; it was fixed utilizing the sterile topical adhesive Histoacryl Blue (B Braun, TS1050044FP) which polymerizes in seconds upon being exposed to water-containing substances. The primary outcomes measured included aided visual acuity (BCVA) and optical coherence tomography (OCT) findings. The mean follow-up period was 6 months. Results. Postoperatively, the MH closure was identified by OCT in 8 (40%) eyes. The mean BCVA increased from 0.11 to 0.21 (p<0.005). The axial length of the eyes included decreased from 30.5 mm preoperatively to 29.8 mm (p=0.002) postoperatively. Conclusion. Preparation of the new sutureless macular buckle is simple and easy. Illumination of the terminal part of the buckle ensures proper placement. Histoacryl Blue is effective in fixing the buckle in its place for at least 6 months with no reported intra- or postoperative complications.

授权许可

Copyright © 2017 Ahmed M. Bedda et al. 2017
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

通讯作者

Ahmed M. Abdel Hadi.Ophthalmology Department, Faculty of Medicine, Alexandria University, Alexandria 21526, Egypt, alexu.edu.eg.aabdelhadi2010@gmail.com

推荐引用方式

Ahmed M. Bedda,Ahmed M. Abdel Hadi,Mohamed Lolah,Muhammad S. Abd Al Shafy. A New Sutureless Illuminated Macular Buckle Designed for Myopic Macular Hole Retinal Detachment. Journal of Ophthalmology ,Vol.2017(2017)

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