Pars plana vitrectomy for treatment of stage 2 macular holes.
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.
Ruby
A J
AJ
Retina Consultants, Ltd, St Louis, Mo.
Williams
D F
DF
Grand
M G
MG
Thomas
M A
MA
Meredith
T A
TA
Boniuk
I
I
Olk
R J
RJ
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*