Publication details

Vliv operace idiopatické makulární díry s peelingem MLI a plynnou tamponádou na elektrickou funkci sítnice

Title in English The influence of the idiopathic macular hole surgery with the ILM peeling and gas tamponade on the electrical function of the retina


Year of publication 2010
Type Article in Periodical
Magazine / Source Česká a Slovenská Oftalmologie
MU Faculty or unit

Faculty of Medicine

Field ORL, ophthalmology, stomatology
Keywords ERG; idiopathic macular hole; pars plana vitrectomy
Description Many contemporary clinical papers establish positive influence of the pars plana vitrectomy with the ILM peeling and gas tamponade in macular hole to the macular morphology. They prove diminishing or disappearing of the central scotoma and metamorphopsia and especially also improvement of the BCVA for far and near. The evaluation of the the objective functional condition of the retina is still a discussed question. Stattistically significant improvement of the retinal electric function in central 4 degrees, 3 months after the surgery, confirms the positive functional effect of the surgery to the fovea. On the other hand, in the parafoveolar region, as wel as in the whole retina, 3 months after the surgery, statistically significant decrease of the function of the retina, meaning the time prolongation of the conduction in the outer layers of the retina, occurs. During the short, three months lasting, follow-up period, the functional improvement in the fovea occurred, but the functional decrease in the parafoveolar region, which correlates in the large extend with area of the ILM peeling was found.

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