Vitreous surgery for traumatic macular holes.

Abstract

PURPOSE:

To review the anatomic and visual outcomes of a series of patients with traumatic macular holes who underwent vitreous surgery without adjunctive therapy.

METHODS:

We performed a retrospective chart review of 23 patients who underwent vitrectomy, fluid-gas exchange, and sulfur hexafluoride gas tamponade for traumatic macular holes. Anatomic success rate and final visual improvement after the surgery were studied.

RESULTS:

Medical records of 23 patients (23 eyes) who underwent this procedure were reviewed. Closure of the macular hole was achieved in 16 (70%) eyes with one surgery and in 22 (96%) of the 23 eyes with two surgeries. The mean best-corrected preoperative visual acuity was 20/160, and postoperative visual acuity was 20/60 with a mean (+/- standard deviation) follow-up of 23+/-13 months (range 3-56 months). Fourteen (61 %) of the 23 eyes achieved a best-corrected postoperative visual acuity of 20/60 or better, and 11 (48%) of the 23 eyes achieved 20/40 or better. Twenty (87%) of the 23 eyes achieved at least two lines of visual improvement.

CONCLUSIONS:

Vitreous surgery without adjunctive therapy for traumatic macular holes can lead to anatomic success and visual acuity improvement in most eyes.

• Authors: F Amari, N Ogino, M Matsumura, A Negi, N Yoshimura
• Journal: Retina (Philadelphia, Pa.) (Retina) Vol. 19 Issue 5 Pg. 410-3 ( 1999) ISSN: 0275-004X [Print] United States
• PMID: 10546936 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Multicenter Study)

Chemical References

• Sulfur Hexafluoride

Topics

• Adolescent
• Adult
• Eye
• Eye Injuries (complications, surgery)
• Female
• Follow-Up Studies
• Humans
• Injections
• Macula Lutea (injuries)
• Male
• Middle Aged
• Reoperation
• Retinal Perforations (etiology, surgery)
• Retrospective Studies
• Sulfur Hexafluoride (administration & dosage)
• Treatment Outcome
• Visual Acuity
• Vitrectomy (methods)