Combined phacovitrectomy for macular hole: long-term results.
To present the long-term results of patients undergoing combined phacovitrectomy surgery for idiopathic macular hole at a single center.



A retrospective review of the records for 57 eyes of 53 consecutive patients who underwent combined phacovitrectomy for idiopathic macular hole during an 18-month period was completed at the Southampton Eye Unit.



In 45 of 57 eyes (78.9%), the macular hole closed after one surgical procedure. Forty-seven patients had a follow-up period of more than 12 months (mean = 22.1 months). In this group, the mean visual acuity (standard deviation) improved by 0.37 (+/- 0.46) logarithm of the minimum angle of resolution units. Thirty-two (68%) cases had improved visual acuity of 2 or more Snellen lines. Hole closure rate at the final follow-up examination was 87.2%.



Combining phacoemulsification and vitrectomy for an idiopathic macular hole has many benefits. It is a safe procedure and produces long-term results that are comparable to previously published series.
Southampton Eye Unit, Southampton, United Kingdom.
Simon
S
Rogers
Krishnappa C
KC
Madhusudhana
H Kwon
HK
Kang
Andrew J
AJ
Luff
Chris R
CR
Canning
Richard S B
RS
Newsom
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications; D012167:Retinal Perforations / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*
D005466:Fluorocarbons; C048381:perfluoroethane; C042852:perflutren; D013459:Sulfur Hexafluoride