Management of macular pucker.
OBJECTIVE
To document the outcome of macular pucker surgery in terms of improvement of visual acuity.


METHODS
Interventional quasi experimental study.


METHODS
Ophthalmology Department, Civil Hospital, Karachi.


METHODS
Twenty-two patients with macular pucker underwent surgical repair. Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) was carried out. Postoperative follow-up was done for one year. Main outcome measure were visual acuity, causes and ocular complications. Data was analyzed using SPSS Version-10. Non-parametric sign test with chi-square statistic was used to compare the pre-operative and postoperative outcome.


RESULTS
The macular pucker was successfully removed in 18 patients that revealed high statistical significance regarding improvement in visual acuity. Earlier, significant improvement (18 / 22 cases) was observed at three-month postoperative examination (p < 0.0001). Insignificant (9/22) postoperative complications were noted at six-month post-operative follow-up. Metamorphopsia was relieved in 18 patients. Ten patients developed cataract, 4 patients developed increased intra-ocular pressure (transient) and two patients developed retinal detachment.


CONCLUSIONS
Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) can successfully remove macular pucker, improve vision and relieve metamorphopsia.
Khokhar
Abdur Rasheed
AR
Department of Ophthalmology, Dow Medical College and Civil Hospital, Karachi.
Rab
Khowaja Faiz-Ur-
KF
Akhtar
Hafiz Usman
HU
D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*