Our Summary

This study looked at the effects of a certain type of eye surgery on patients who have macular holes (a condition that can lead to vision loss). The procedure uses a substance called Brilliant Blue to help peel off a thin layer of tissue from the eye. The researchers wanted to see if this surgery caused any changes in the thickness of the retinal nerve fiber layer, which is important for vision.

They studied 20 patients, all of whom underwent the surgery. Using special imaging technology, they measured the thickness of the retinal nerve fiber layer before the surgery and then again two months after the surgery.

The results showed that there was no significant change in the thickness of the retinal nerve fiber layer after the surgery. This was true for all patients, regardless of their age or sex. This suggests that this type of surgery does not harm this layer of the eye, which is a positive finding.

FAQs

  1. What is the purpose of using Brilliant Blue-assisted internal limiting membrane peeling in retinal surgery?
  2. What changes in retinal nerve fiber layer thickness were observed after the surgery?
  3. Does age or sex affect the outcome of retinal nerve fiber layer thickness measurements after macular holes surgery?

Doctor’s Tip

A doctor might advise a patient undergoing retinal surgery to follow all post-operative care instructions carefully, including attending follow-up appointments and taking prescribed medications as directed. It is also important to report any changes in vision or unusual symptoms to the doctor immediately. Additionally, maintaining a healthy lifestyle, including regular eye exams and avoiding smoking, can help support the healing process and overall eye health.

Suitable For

Patients with macular holes who are recommended retinal surgery typically have a significant macular hole that is affecting their central vision. The surgery is usually recommended for patients who have not responded to conservative treatments such as observation or injections. Additionally, patients with other retinal conditions such as retinal detachment, diabetic retinopathy, or macular degeneration may also be recommended for retinal surgery.

Timeline

  • Before surgery: The patient undergoes preoperative assessments and consultations with their ophthalmologist to determine the need for retinal surgery. Imaging tests such as optical coherence tomography may be performed to evaluate the condition of the macular hole.

  • Day of surgery: The patient undergoes vitrectomy with Brilliant Blue-assisted internal limiting membrane peeling to repair the macular hole. The surgery is typically performed under local anesthesia and may take a few hours to complete.

  • Postoperative day 1: The patient may experience some discomfort, redness, and blurred vision in the operated eye. They will be given instructions on postoperative care, including the use of eye drops and avoiding strenuous activities.

  • Weeks to months after surgery: The patient will have follow-up appointments with their ophthalmologist to monitor the healing process and assess the success of the surgery. Imaging tests such as optical coherence tomography may be repeated to evaluate the retinal nerve fiber layer thickness.

  • 2 months postoperatively: The patient undergoes spectral domain optical coherence tomography to compare the pre- and post-treatment retinal nerve fiber layer thickness measurements. The study shows no significant decrease in retinal nerve fiber layer thickness after macular hole surgery.

Overall, the patient’s vision may improve gradually over time as the macular hole heals, and the risk of complications from the surgery is low. Regular follow-up appointments are important to ensure optimal outcomes and monitor for any potential issues.

What to Ask Your Doctor

Some questions a patient may consider asking their doctor about retinal surgery for macular holes include:

  1. What is the success rate of retinal surgery for macular holes?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery period after retinal surgery for macular holes?
  4. Will I need to undergo any additional procedures or treatments after the surgery?
  5. How soon after the surgery can I expect to see improvement in my vision?
  6. Will I need to follow any specific post-operative care instructions or restrictions?
  7. What are the long-term effects of retinal surgery for macular holes?
  8. Are there any alternative treatment options available for macular holes?
  9. How frequently will I need to follow-up with my doctor after the surgery?
  10. What can I do to optimize the outcome of the surgery and improve my overall eye health?

Reference

Authors: Capelanes NC, Diniz AV, Magalhães ÉP, Marques KO. Journal: Arq Bras Oftalmol. 2018 Jan-Feb;81(1):37-41. doi: 10.5935/0004-2749.20180009. PMID: 29538592