[Anatomical and functional results after elective macular surgery].
OBJECTIVE
The purpose of this paper is to assess the anatomical and functional results after macular surgery in a large group of patients.


METHODS
Between June 1995 and December 2001, 381 eyes underwent vitreous surgery for macular pucker (n=244) or macular holes (n=137) with a standard pars plana vitrectomy (PPV) with induction of posterior vitreous separation, membrane peeling, peeling of the internal limiting membrane (no ICG staining was used), and gas instillation (SF(6)).


RESULTS
A second surgical intervention due to vision-threatening complications after PPV had to be performed in 8 of 381=2.1%. In the macular pucker group, metamorphopsias improved in 46.6% and the median of visual acuity (VA) improved from preoperative 0.3 to postoperative 0.5. Hole closure of macular holes was obtained in 92.2%; the median of VA improved in this group from preoperative 0.2 to postoperative 0.4.


CONCLUSIONS
In our group a second vitreoretinal procedure due to vision-threatening complications had to be performed in 2.1%. Compared to the spontaneous course, PPV for macular pucker or macular hole has a very positive influence on functional parameters.
Hager
A
A
Augenabteilung, Klinikum Nord-Heidberg, Hamburg. anhager@gmx.de
Ehrich
S
S
Wiegand
W
W
D000368:Aged; D017558:Elective Surgical Procedures / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008266:Macula Lutea / Q000601:surgery*; D008297:Male; D020127:Recovery of Function / Q000502:physiology*; D012086:Reoperation / Q000706:statistics & numerical data*; D012167:Retinal Perforations / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000706:statistics & numerical data*