Abstract

PURPOSE
To determine long-term surgical findings and outcomes after vitrectomy for symptomatic lamellar macular holes.
METHODS
This is a retrospective, consecutive, interventional case series. Sixteen patients (31 eyes) with lamellar macular holes and central visual loss participated in the study. All patients underwent 3-port pars plana vitrectomy with membranectomy and/or internal limiting membrane peeling and gas tamponade under the care of one author. Best-corrected visual acuity and optical coherence tomography appearance were determined preoperatively and postoperatively.
RESULTS
Final visual acuity improved more than 2 lines postoperatively in 18 eyes (58.1%) and decreased in 2 eyes (6.5%) leading to a mean gain of 0.18 logarithm of the minimum angle of resolution visual acuity during the mean follow-up period of 39 ± 24 months (12-85 months). Twenty-eight eyes (90.3%) improved or normalized in foveal appearance on postoperative optical coherence tomography images of the macula, 1 eye remained unchanged, and 1 eye (3.2%) had chronic cystoid macular edema, 1 eye was unchanged, and 1 eye showed recurrence of lamellar macular hole.
CONCLUSION
In patients with central visual loss from lamellar macular holes, vitrectomy, membranectomy, and/or internal limiting membrane peeling and gas tamponade appear to have a beneficial effect for a mean of 3 years.

Links

Publisher Full Text

Authors

Lee SJ, Jang SY, Moon D, Choi KS, Jung GY

Institution

Department of Ophthalmology, College of Medicine, Soonchunhyang University, Seoul, Korea. wismile@unitel.co.kr

Source

Retina (Philadelphia, Pa.) 32:9 2012 Oct pg 1743-8

MeSH

Adult
Aged
Aged, 80 and over
Basement Membrane
Endotamponade
Epiretinal Membrane
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retinal Perforations
Retrospective Studies
Tomography, Optical Coherence
Treatment Outcome
Visual Acuity
Vitrectomy

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22596099