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
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:https://doi.org/
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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. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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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  
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