May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Outcomes of Macular Hole Surgery in Patients Treated Intraoperatively for Retinal Breaks and/or Lattice Degeneration
J. C. Hwang; P. Escario; R. Iranmanesh; G. Tosi; S. Chang
Author Affiliations & Notes
  • J. C. Hwang
    Ophthalmology, Columbia University, New York, New York
  • P. Escario
    Ophthalmology, Columbia University, New York, New York
  • R. Iranmanesh
    Ophthalmology, Columbia University, New York, New York
  • G. Tosi
    Ophthalmology, Columbia University, New York, New York
  • S. Chang
    Ophthalmology, Columbia University, New York, New York
  • Footnotes
    Commercial Relationships J.C. Hwang, None; P. Escario, None; R. Iranmanesh, None; G. Tosi, None; S. Chang, None.
  • Footnotes
    Support Supported by unrestricted funds from Research to Prevent Blindness.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 5759. doi:
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      J. C. Hwang, P. Escario, R. Iranmanesh, G. Tosi, S. Chang; Outcomes of Macular Hole Surgery in Patients Treated Intraoperatively for Retinal Breaks and/or Lattice Degeneration. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5759.

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Abstract

Purpose:: To assess the outcome of macular hole surgery in patients treated intraoperatively for retinal breaks and/or lattice degeneration.

Methods:: Retrospective review of patients who underwent macular hole surgery from September 1998 to August 2005. Outcomes in eyes that received intraoperative endolaser photocoagulation for retinal breaks and/or lattice degeneration were compared to outcomes in a case-matched control group without retinal breaks or lattice degeneration

Results:: 24 eyes from 24 patients who underwent macular hole surgery received intraoperative endolaser photocoagulation for retinal breaks and/or lattice degeneration. Macular hole closure occurred in all case and control eyes without any incidence of postoperative retinal detachment. BCVA improvement of at least three Snellen lines occurred in 100% of case eyes and 92% of control eyes.

Conclusions:: Outcomes of macular hole surgery in patients with retinal breaks and/or lattice degeneration are similar to outcomes in the overall population when these conditions are treated with intraoperative endolaser photocoagulation. Postoperative retinal detachment is correlated with untreated retinal tears and greater attention should focus on detecting and managing intraoperative breaks. Panoramic viewing systems can facilitate intraoperative detection of retinal tears.

Keywords: macular holes • retinal detachment 
© 2007, 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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