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Table 2 Baseline characteristics of the included patients with tMH

From: Surgical management of retinal detachment and macular holes secondary to ocular toxoplasmosis: a systematic review and meta-analysis

Study (year)

Design

Number of patients

M/F ratio

Mean age

Follow-up

Macular hole width

Macular hole closure

Type of MH

Intervention

Clinical Treatment for Ocular Toxoplasmosis

Clinical Treatment in Postoperative

Souza (2018)

Retrospective

11

5/6

33.2

6 months

165 ± 96 µm

11/11

tMH (11/11)

PPV + ILM + ERM (3/11); PPV + ILM (8/11)

NA

Postoperatively, all patients were prescribed moxifloxacin for 1 week and Pred Forte (prednisolone acetate 1%, Allergan) for 4 weeks, prophylactic TR treatment with trimethoprim/sulfamethoxazole (160/800 mg 3 times per week), and regularly followed up for at least 6 months

Study (year)

Design

M:F

Age

Follow-up

Macular hole width

Macular hole closure

Type of MH

Intervention

Clinical Treatment for Ocular Toxoplasmosis

Clinical Treatment in Postoperative

Erol (2021)

Case report

F

30

2 months

698 µm

Yes

FTMH

PPV

Trimethoprim/sulfamethoxazole (160/800 mg) twice a day and clindamycin 300 mg four times a day. After three days, 32 mg/day methylprednisolone was added to oral treatment

Drops containing antibiotics and steroids were applied for up to one month after surgery. Oral antibiotic treatment for toxoplasma was continued for six weeks

Tanaka (2014)

Case report

M

59

5 months

2852 μm horizontally, 2571 μm vertically in spectral-domain OCT

No

FTMH

PPV + ILM + GAS

Oral acetylspiramycin (1200 mg/day) for 8 weeks

NA

Arana (2012)

Case report

F

35

8 months

NA

Yes

FTMH

PPV + GAS

Prednisolone and cycloplegic drops and empirical oral treatment with sulphamethoxazole (800 mg)/trimethoprim (160 mg) twice a day were started. Oral prednisone at 60 mg/day with tapering doses was added 2 days later for 8 weeks

NA

Ikeda (2021)

Case report

M

49

7 months

500 μm

Yes

FTMH

PPV + ILM

400 mg of sulfamethoxazole and 80 mg of trimethoprim orally. The oral prednisolone was also started from 30 mg and was tapered in 1 month. The treatment was continued for 6 weeks

NA

Doshi (2020)

Case report

M

34

4 weeks

NA

Yes

FTMH

Clinical

Sulphamethoxazole and trimethoprim (800 mg/160 mg) with oral prednisolone (1 mg/kg). As the lesion was very close to the fovea, the patient also received a single dose of intravitreal clindamycin 1 mg/0.1 ml along with dexamethasone 400 microgm/0.1 ml

NA

  1. M: male; F: female; MH: macular hole; tMH: toxoplasmosis-related macular hole; FTMH: full-thickness macular hole; PPV: pars plana vitrectomy; ILM: internal limiting membrane peeling; MH: macular hole; GAS: gas infusion