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The efficacy of macular hole (MH) surgery with the halting of prone positioning by monitoring the MH closure in the swept source optical coherence tomographic (SS-OCT) images was compared with the surgery by the surgeon's decision. The macular hole closure and visual outcome were compared.
The efficacy of macular hole (MH) surgery with the halting of prone positioning by monitoring the MH closure in the swept source optical coherence tomographic (SS-OCT) images was compared with the surgery by the surgeon's decision. All eyes were treated by pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade. MH closure was defined as a connection of the edges of the sensory retina in the SS-OCT images.The macular hole closure and visual outcome were compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SS-OCTdetermined group | Eyes with macular hole surgery that the postoperative prone positioning was discontinued after detecting a closure by SS-OCT |
| |
| Control group | Eyes with macular hole surgery that the halting of the prone position was determined by the surgeon |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Macular hole surgery | Procedure | Vitrectomy with internal limiting membrane removal and gas tamponade |
|
| Measure | Description | Time Frame |
|---|---|---|
| Macular hole closure | Closure of macular hole | Changes from baseline to 1, 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Visual acuity before and after surgery | Vision | Changes from baseline to 1, 2 months |
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Inclusion Criteria:
Exclusion Criteria:
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The efficacy of macular hole (MH) surgery with the halting of prone positioning by monitoring the MH closure in the swept source optical coherence tomographic (SS-OCT) images in 60 eyes was compared with the 69 eyes with same surgical procedure but the prone position determined by the surgeon's decision.
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| Name | Affiliation | Role |
|---|---|---|
| Makoto Inoue, MD | Kyorin Eye Center | Principal Investigator |
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| ID | Term |
|---|---|
| D014821 | Vitrectomy |
| ID | Term |
|---|---|
| D013508 | Ophthalmologic Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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