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D. R. Wu, M. Lai, A. Capone; Surgical Outcomes of Idiopathic Macular Hole Repair With Limited Postoperative Positioning. Invest. Ophthalmol. Vis. Sci. 2008;49(13):4695.
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To report the anatomic and visual outcomes of idiopathic macular hole repair followed by 1 day of face-down positioning.
Retrospective, noncomparative case series of 30 eyes of 26 patients with stage II, III, and IV macular holes that underwent pars plana vitrectomy, ICG-assisted internal limiting memebrane (ILM) peel, and fluid-gas exchange followed by face-down positioning for 1 day.
Anatomical closure was achieved in 28 of 30 eyes (93%) with a single operation. After initial repair, one hole failed to close and one hole closed but reopened 5 weeks following initial surgery. Both were successfully closed after a second operation.Mean visual acuity improved from 20/150 preoperatively to 20/80 postoperatively (p=0.005). 18 eyes (60%) had a >=2 line improvement in Snellen visual acuity at the last postoperative visit. The most common complication following surgery was retinal detachment (3 patients)
Idiopathic macular hole surgery followed by 1 day of postoperative face-down positioning can result in excellent anatomic and visual outcomes.
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