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Clinical Research on the Effect of Different Extents of Internal Limiting Membrane Peeling on Macular Hole Closure and Visual Acuity

Not Applicable
Conditions
Macular Holes
Interventions
Procedure: Large extent of ILM Peeling
Procedure: Small extent of ILM Peeling
Registration Number
NCT03805763
Lead Sponsor
Wenzhou Medical University
Brief Summary

Observing and describing the surgical effects of different extents of internal limiting membrane peeling combined with internal limiting membrane insertion for macular hole

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Clear diagnosis of macular hole;
  • The minimum diameter of the macular hole is >400 μm;
  • Without serious systemic disease that make patients can not be operated;
Exclusion Criteria
  • suffering from severe retinal diseases such as: diabetic retinopathy, age-related macular degeneration, peripheral retinal detachment, PVR, etc.;
  • opacitas in the refractive medium can not perform Angio-OCT and visual acuity examination;
  • eye acute and chronic inflammation, such as acute contagious conjunctivitis, acute and chronic keratitis, acute dacryocystitis;
  • traumatic macular hole, secondary macular hole, high myopia macular hole, etc.;
  • having a history of vitrectomy surgery;
  • glaucoma in stage of preclinical, severe stenosis or closure;

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Large extent of ILM PeelingLarge extent of ILM PeelingExtent of ILM peeling is 4DD and the ILM flap is inserted
Small extent of ILM PeelingSmall extent of ILM PeelingExtent of ILM peeling is 2DD and the ILM flap is inserted
Primary Outcome Measures
NameTimeMethod
Mean change from baseline in best-corrected visual acuity (BCVA)1 year

Assessed using the ETDRS protocol

change from baseline in foveal avascular zone (FAZ) areas and diameter1 year

Assessed on AngioOCT

change from baseline in the area and diameter of deteriorated circulation zone in superficial and deep retina vessels1 year

Assessed on AngioOCT

Condition of postoperative healing of macular holes1 year

postoperative photograph of macular retina scanned by Angiography Optical Coherence Tomography(AngioOCT)

Secondary Outcome Measures
NameTimeMethod
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