April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Safety and Efficacy of 25-Gauge Sutureless Vitrectomy for Idiopathic Macular Pucker
John O Mason; Nathan Wilbanks; Frank Venzara; Shawn Agee; Richard M Feist; Martin L Thomley; Michael A Albert
Author Affiliations & Notes
  • John O Mason
    Retina Consultants of Alabama, Birmingham, AL
    University of Alabama at Birmingham, Birmingham, AL
  • Nathan Wilbanks
    Retina Consultants of Alabama, Birmingham, AL
    University of Alabama at Birmingham, Birmingham, AL
  • Frank Venzara
    Retina Consultants of Alabama, Birmingham, AL
    University of Alabama at Birmingham, Birmingham, AL
  • Shawn Agee
    Retina Consultants of Alabama, Birmingham, AL
    University of Alabama at Birmingham, Birmingham, AL
  • Richard M Feist
    Retina Consultants of Alabama, Birmingham, AL
    University of Alabama at Birmingham, Birmingham, AL
  • Martin L Thomley
    Retina Consultants of Alabama, Birmingham, AL
    University of Alabama at Birmingham, Birmingham, AL
  • Michael A Albert
    Retina Consultants of Alabama, Birmingham, AL
    University of Alabama at Birmingham, Birmingham, AL
  • Footnotes
    Commercial Relationships John Mason, None; Nathan Wilbanks, None; Frank Venzara, None; Shawn Agee, None; Richard Feist, None; Martin Thomley, None; Michael Albert, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 1171. doi:
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      John O Mason, Nathan Wilbanks, Frank Venzara, Shawn Agee, Richard M Feist, Martin L Thomley, Michael A Albert; Safety and Efficacy of 25-Gauge Sutureless Vitrectomy for Idiopathic Macular Pucker. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1171.

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Abstract

Purpose: To assess the safety and efficacy of 25-gauge pars plans vitrectomy (PPV) for idiopathic macular pucker (IMP).

Methods: Retrospective review of 217 consecutive eyes (214 patients) undergoing 25-gauge PPV for IMP (internal limiting membrane and pucker were reviewed in all eyes) from 2010 to 2012.

Results: Mean preoperative best-corrected visual acuity (BCVA) was 20/82 and mean postoperative BCVA was 20/39 (p<0.001). Optimal BCVA was achieved at a mean 3 months. Ninety percent of eyes had >2 lines improvement while 50% halved their visual angle. Complications occurred in 9/217 (4.1%) eyes consisting of 2 retinal detachments, 6 vitreous hemorrhages, and 1 endophthalmitis. Only one eye had recurrence of macular pucker.

Conclusions: In the largest consecutive series to date, 25-gauge PPV for IMP resulted in significant visual improvement with few complications.

Keywords: 585 macula/fovea • 762 vitreoretinal surgery • 688 retina  
© 2014, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2025 Association for Research in Vision and Ophthalmology.
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