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- W2955355904 abstract "To present the two-year results of ellipsoid zone (EZ) recovery by Spectral Domain Optical Coherence Tomography (SD-OCT) after vitrectomy surgery in large full thickness macular holes (MHs).Thirty eyes of 30 patients were enrolled in this retrospective study. Inclusion criteria were large full thickness idiopathic MH (400 microns), a minimum follow-up period of 24 months and successful repair of the hole with the first surgery. The mean length of the EZ defect was calculated linearly via SD-OCT preoperatively and at postoperative 1st, 3rd, 6th, 12th, 18th and 24th months. The main outcome measures were diameter of the EZ defect and preoperative and postoperative best corrected visual acuities (BCVA).The EZ defect was mostly recovered in the first month. The continuity of the EZ and total recovery of the EZ defect was achieved in 3.33 % of the participants at month 12; 10 % of the participants at month 18, and 33.3 % of the participants at month 24. The EZ defect was significantly correlated with BCVA preoperatively and at 6 months postoperatively (P = 0.02 and P = 0.01, respectively).Ellipsoid zone recovery occurred mostly in the first month after vitreoretinal surgery, and this recovery process extended up to 2 years. At 24 months postoperatively, the EZ was fully recovered in only one third of the patients.Présenter les résultats à deux ans de la récupération de la zone ellipsoïde (ZE) en tomographie en Cohérence Optique Spectral Domain SD-OCT après traitement par vitrectomie des trous maculaires de grand diamètre.Les critères d’inclusion étaient les patients opérés avec succès d’un trou maculaire de plus de 400 microns avec un suivi de plus de 24 mois. La longueur de la portion de la ZE présentant des altérations ou des interruptions sur les OCT ainsi que la récupération fonctionnelle ont été évaluées de M1 à M24.Trente yeux de 30 patients ont été inclus dans l’étude. Les altérations de la ZE ont régressé de manière continue entre le 1er et le 24e mois avec restitution intégrale chez 1 patient à 1 an, chez 3 patients à 18 mois et chez 10 patients à 24 mois. L’altération de la ZE était corrélée à l’acuité préopératoire ainsi qu’à l’acuité à M6 (p < 0,02 et p < 0,01 respectivement).La récupération des altérations de la ZE sur les OCT postopératoires est objectivivée dès le premier mois et se poursuit pendant au moins 2 ans. À ce terme, l’intégrité de la ZE n’est présente que chez 1/3 des patients." @default.
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- W2955355904 date "2019-11-01" @default.
- W2955355904 modified "2023-09-27" @default.
- W2955355904 title "Rétinoschisis juvénile lié à X" @default.
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- W2955355904 doi "https://doi.org/10.1016/j.jfo.2019.05.010" @default.
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