Early foveal recovery after macular hole surgery

• Published in: British journal of ophthalmology Vol. 92; no. 5; p. 645
• Main Authors: Hasler, P W, Prünte, C
• Format: Journal Article
• Language: English
• Published: England 01-05-2008
• Subjects: Aged; Aged, 80 and over; Epiretinal Membrane - surgery; Female; Follow-Up Studies; Fovea Centralis - physiopathology; Fundus Oculi; Humans; Male; Middle Aged; Ophthalmoscopy - methods; Pressure; Prone Position; Retinal Perforations - physiopathology; Retinal Perforations - surgery; Retrospective Studies; Tomography, Optical Coherence; Treatment Outcome; Trypan Blue; Visual Acuity; Vitrectomy
• ISSN: 1468-2079
• DOI: 10.1136/bjo.2007.130971

To evaluate morphological and functional recovery after macular hole surgery using pars plana vitrectomy (PPV), inner limiting membrane (ILM) peeling, air-tamponade and short-time limited face-down positioning.
Retrospective, interventional, non-comparative consecutive case series.
Thirty eyes in 30 patients (30 eyes) with unilateral full-thickness macular hole (stage II-IV).
All eyes underwent PPV, ILM peeling and fluid-air exchange followed by postoperative face-down positioning for 2 days.
Best corrected visual acuity, optical coherence tomography (OCT) assessment of macular integrity, and biomicroscopy at days 3 and 7, and months 1, 3, 6 and 12.
On postoperative day 3, OCT demonstrated macular hole closure in 28 eyes (93%). One eye required vitrectomy 7 weeks after initial surgery due to retinal detachment.
In the present case series, PPV with Trypan Blue-assisted ILM peeling, short-acting internal tamponade and thus shorter face-down positioning was associated with a 93% macular hole closure rate.