Surgical management of inner lamellar macular hole.
The purpose of this study was to determine whether pars plana vitrectomy membrane peeling and fluid-air exchange could improve optical coherence tomography and visual acuity outcomes in a patient with an inner lamellar macular hole when the patient remains in the face-down position for 3 days after surgery. Three weeks postoperatively, optical coherence tomography revealed a normal macular contour. Two months postoperatively, best-corrected visual acuity improved from 20/60 to 20/30. Surgery may be a useful option to study further in patients with symptomatic inner lamellar macular holes.
Kokame
Gregg T
GT
Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine, Honolulu, Hawaii, USA.
Tokuhara
Keith G
KG
D000368:Aged; D005260:Female; D006801:Humans; D012160:Retina / Q000473:pathology; D012167:Retinal Perforations / Q000473:pathology / Q000601:surgery*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*