Macular hole surgery with internal-limiting membrane peeling and intravitreous air
Section snippets
Patients and methods
Fifty-five consecutive patients (64 eyes) with full-thickness macular holes underwent a PPV operation to repair the macular holes. Patients were referred to one of us (JOS) between October 1991 and July 1997 for the treatment of a macular hole. The initial surgery on all 64 eyes was performed by 1 surgeon (JOS). Eyes with traumatic macular holes were excluded. We performed a detailed medical and ocular history with a complete eye examination, including biomicroscopy. A chart review was
Results
Fifty-eight eyes of 50 consecutive patients underwent a PPV with internal-limiting membrane peeling and intravitreous air to repair full-thickness, idiopathic macular holes (stages 2–4). The mean age was 68 years (range, 42–79 years), and there were 33 women and 17 men. The mean follow-up was 696 days (range, 180–1869 days). Patients had symptoms for an average of 5.24 months (range, 0.5–48 months) before having the PPV surgery. Patient characteristics are presented in Table 1.
Eight (14%) of 58
Discussion
We report the results of 58 consecutive eyes with idiopathic, full-thickness macular holes that underwent PPV with internal-limiting membrane peeling and intravitreous air. All reported eyes had postsurgical follow-up of 6 months’ or greater duration, and the mean follow-up was 696 days.
Overall, the anatomic success rate was high with 53 (91%) of the 58 macular holes closed with 1 operation. For the eyes with macular holes of less than 6 months’ duration, 44 (98%) of 45 macular holes were
References (18)
- et al.
Transforming growth factor-B2 for the treatment of full-thickness macular holes. A prospective randomized study
Ophthalmology
(1992) - et al.
Vitreous surgery for macular holes
Ophthalmology
(1993) - et al.
Autologous platelet concentrate as an adjunct in macular hole healing. A pilot study
Ophthalmology
(1996) - et al.
Long-term visual outcomes in patients with successful macular hole surgery
Ophthalmology
(1997) - et al.
Prospective randomized trial of vitrectomy or observation for stage 2 macular holes
Am J Ophthalmol
(1996) - et al.
Late re-opening of macular holes after initially successful treatment with vitreous surgery
Ophthalmology
(1994) - et al.
Imaging of epiretinal membranes in macular holes by scanning laser ophthalmoscopy
Am J Ophthalmol
(1996) - et al.
Histopathologic features of idiopathic macular holes and cysts
Ophthalmology
(1990) Reappraisal of biomicroscopic classification of stages of development of a macular hole
Am J Ophthalmol
(1995)