Purchase this article with an account.
K. Fukuda, F. Shiraga, H. Yamaji, H. Nomoto; Surgical Outcomes of 25-Gauge Transconjunctival Sutureless Vitrectomy for Idiopathic Macular Hole. Invest. Ophthalmol. Vis. Sci. 2007;48(13):2218.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To report surgical outcomes of 25-gauge transconjunctival sutureless vitrectomy (25G TSV) for idiopathic macular hole.
A retrospective, interventional case study was conducted. A consecutive series of 17 patients (17 eyes) with idiopathic macular holes underwent 25G TSV with internal limiting membrane (ILM) peeling and fluid-20% sulfur hexafluoride (SF6) exchange. Main outcome measures included pre-and postoperative visual acuity(VA), and intra-and postoperative complications.
The mean follow-up period was 9.8 months with a range of 3 to 19. Two, 10 and 5 eyes respectively had stage 2, 3, and 4 macular holes. In all 17 eyes, optical coherence tomography demonstrated macular hole closure at 3 months after the surgery. The mean log minimum angle of resolution (log MAR) VA was significantly improved from 0.749 ± 0.326 preoperatively to 0.279 ± 0.231 at 3 months postoperatively (paired t-test, p<0.01). Fourteen of the 17 eyes (82%) had the visual acuity of 20/40 or better at 3 months after the surgery. No eyes in the present study had adverse effects during follow-up period.
25G TSV could be effective in anatomical success and excellent visual recovery in eyes with idiopathic macular hole.
This PDF is available to Subscribers Only