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