PMID- 11605584
OWN - NLM
STAT- MEDLINE
DCOM- 20020129
LR  - 20161124
IS  - 0023-2157 (Print)
IS  - 0023-2157 (Linking)
VI  - 103
IP  - 1
DP  - 2001
TI  - [Diagnosis and surgical treatment of idiopathic macular holes].
PG  - 39-42
AB  - AIM: Evaluation of diagnostical methods and pars plana vitrectomy (ppv) in 
      surgical treatment of idiopathic macular holes. MATERIAL AND METHODS: Group of 16 
      patients, 15 women and 1 man, aged between 48 and 78 years, mean age 63 years. 
      The surgical treatment--ppv were performed in all patients with macular holes 
      stage II-IV. In all patients the following examinations were performed: distant 
      and near visual acuity, ophthalmoscopy in Volk 60 lens, Amsler test, colour 
      vision test with anomaloscope IF2, ultrasonic evaluation of vitreous chamber and 
      particularly of premacular region, and electrophysiological tests-visual evoked 
      potentials (VEP) and electroretinography (ERG). 12 patients were treated by ppv 
      with exchange fluid-gas SF6, and in 4 patients extra adjuvant--own patient's 
      serum was injected after earlier exchange fluid-air-gas SF6. RESULTS: In 80% of 
      cases there was an improvement of vision observed by patients, improvement of 
      near visual acuity and reduction of metamorphopsia in Amsler test. In USG 
      examination the reduction of macular thickening, lack of operculum and presence 
      of complete posterior vitreous detachment in the region of macula were observed 
      after surgery. In electrophysiological investigations there was the improvement 
      of VEP parameters using 1/4 visual field as a stimulus. In 1 case treated with 
      adjuvants, there was endophtalmitis with secondary retinal detachment after ppv. 
      CONCLUSIONS: Ppv in nearly all cases gave good results for patients--improvement 
      of visual comfort and reduction of central defect of vision. It also gave good 
      surgical--anatomical results. Using of adjuvant--own patient's serum, did not 
      improve in particular way the functional and anatomical results of surgery.
FAU - Meller, M
AU  - Meller M
AD  - Katedry i Kliniki Okulistycznej AM im. K. Marcinkowskiego w Poznaniu.
FAU - Karolczak-Kulesza, M
AU  - Karolczak-Kulesza M
FAU - Bernardczyk-Meller, J
AU  - Bernardczyk-Meller J
LA  - pol
PT  - Journal Article
TT  - Diagnostyka i leczenie chirurgiczne idiopatycznych otworow plamki.
PL  - Poland
TA  - Klin Oczna
JT  - Klinika oczna
JID - 0376614
SB  - IM
MH  - Aged
MH  - Electroretinography/methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Care
MH  - Preoperative Care
MH  - Retinal Perforations/*diagnosis/diagnostic imaging/*surgery
MH  - Severity of Illness Index
MH  - Ultrasonography
MH  - Vitrectomy/*methods
EDAT- 2001/10/19 10:00
MHDA- 2002/01/30 10:01
CRDT- 2001/10/19 10:00
PHST- 2001/10/19 10:00 [pubmed]
PHST- 2002/01/30 10:01 [medline]
PHST- 2001/10/19 10:00 [entrez]
PST - ppublish
SO  - Klin Oczna. 2001;103(1):39-42.