Abstract | PURPOSE: METHODS: Eight RP patients suffering from VMT were evaluated by means of best corrected visual acuity (BCVA), anterior and posterior binocular examination, spectral-domain optical coherence tomography (SD-OCT), MP-1 microperimetry (MP-1), and full-field electroretinogram (ERG), before MIVS and ILM peeling and during the 36-month follow-up. Patients were hospitalized for two days after the surgery. Surgical procedure was performed following this schedule: surgical removal of crystalline lens (MICS), MIVS with 23-gauge sutureless system trocars, core vitreous body removal, and balanced-sterile-salin- solution- (BSS-) air-gas (SF6) exchange. RESULTS: All patients presented visual acuity (VA) increase after MIVS. None of the patients developed ocular hypertension or vitreomacular adhesions during the 3-year follow-up. MP-1 bivariate contour ellipse area (BCEA) was reduced in its dimensions and improved in all patients demonstrating a better fixation. CONCLUSIONS: MIVS could be the gold standard therapy in RP patients with VMT and higher vitreous surface adhesion or coexisting ERM if medical therapy is not applicable or not effective.
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Authors | Enzo Maria Vingolo, Emanuele Gerace, Stefano Valente, Leopoldo Spadea, Marcella Nebbioso |
Journal | BioMed research international
(Biomed Res Int)
Vol. 2014
Pg. 537081
( 2014)
ISSN: 2314-6141 [Electronic] United States |
PMID | 25009817
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Recovery of Function
- Retinitis Pigmentosa
(pathology, physiopathology, surgery)
- Syndrome
- Vitrectomy
- Vitreous Body
(pathology, physiopathology)
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