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H. Yamaji, F. Shirga, S. Tanaka, H. Nomoto, K. Fukuda; Early Changes in Visual Acuity After 25 Gauge Transconjunctival Sutureless Vitrectomy (25GTSV) for Macular Pucker. Invest. Ophthalmol. Vis. Sci. 2007;48(13):4137.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate early changes in visual acuity after 25 gauge transconjunctival sutureless vitrectomy (25GTSV) for macular pucker.
A retrospective, interventional case study
Twenty eyes of 20 consecutive patients with macular pucker underwent 25GTSV with epiretinal membrane removal. Main outcome measures included pre- and post-operative visual acuity at 1 week, 1month and 3months.
The mean logarithm of the minimal angle of resolution (log MAR) visual acuity at baseline, at 1week, 1month and 3months were 0.33, 0.18, 0.14 and 0.09, respectively. The mean log MAR visual acuities at all visits after surgery significantly improved compared with that at baseline (p<0.05, paired t-test). In one eye, retinal detachment occurred and was successfully treated. In our previous study on conventional 20G vitrectomy in 24 eyes with macular pucker, the mean log MAR visual acuity at baseline, at 1week, 1month and 3months were 0.31, 0.24, 0.18 and 0.12, respectively. A statistically significant improvement in the log MAR was found at one month and at 3 months (P < 0.05), but not at one week.
25GTSV for macular pucker holds the potential for faster visual recovery.
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