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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)
To assess the safety and efficacy of 25-gauge pars plans vitrectomy (PPV) for idiopathic macular pucker (IMP).
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.
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.
In the largest consecutive series to date, 25-gauge PPV for IMP resulted in significant visual improvement with few complications.
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