title: Pars plana vitrectomy for treatment of stage 2 macular holes.
abstract: OBJECTIVE
  To assess the anatomic outcome and visual acuities at follow-up after pars plana vitrectomy in the management of stage 2 macular holes.
  
  
  METHODS
  Retrospective.
  
  
  METHODS
  Retina Consultants, Ltd, St Louis, Mo.
  
  
  METHODS
  Thirty-three patients, aged 43 to 75 years, with stage 2 macular holes.
  
  
  METHODS
  Total pars plana vitrectomy with separation of the posterior hyaloid membrane and injection of intraocular gas followed by postoperative face-down positioning.
  
  
  METHODS
  Visual acuity and anatomic appearance of the macular hole.
  
  
  RESULTS
  Postoperatively, 20 (61%) of 33 eyes attained a visual acuity of 20/50 or greater. Twenty (61%) of 33 eyes showed an improvement in visual acuity, while nine (27%) of 33 were stable. Four (12%) of 33 eyes showed a decline in postoperative visual acuity with progression to a stage 3 macular hole. Twenty-five (76%) of 33 eyes showed stabilization or improvement in the appearance of the macular hole.
  
  
  CONCLUSIONS
  Pars plana vitrectomy in conjunction with postoperative intraocular gas tamponade may result in visual and anatomic stabilization or improvement in eyes with stage 2 macular holes. However, because of limited natural history data, it is unknown whether these results are any better than those that might occur without surgery.
authors.affiliation: Retina Consultants, Ltd, St Louis, Mo.
authors.forename: A J
authors.initials: AJ
authors.lastname: Ruby
authors.forename: D F
authors.initials: DF
authors.lastname: Williams
authors.forename: M G
authors.initials: MG
authors.lastname: Grand
authors.forename: M A
authors.initials: MA
authors.lastname: Thomas
authors.forename: T A
authors.initials: TA
authors.lastname: Meredith
authors.forename: I
authors.initials: I
authors.lastname: Boniuk
authors.forename: R J
authors.initials: RJ
authors.lastname: Olk
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery; D012167:Retinal Perforations / Q000145:classification / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*