Vitrectomy for a symptomatic lamellar macular hole.
OBJECTIVE
To investigate the surgical findings and outcomes after vitrectomy for a lamellar macular hole (LMH).


METHODS
Retrospective, consecutive, interventional case series.


METHODS
Twenty-seven patients (27 eyes) with a lamellar macular hole and central vision loss.


METHODS
All patients underwent 3-port vitrectomy with internal limiting membrane (ILM) stripping by one of the authors. Best-corrected visual acuity (BCVA) and appearance by optical coherence tomography (OCT) were obtained preoperatively and postoperatively.


METHODS
Preoperative and postoperative BCVA and OCT imaging.


RESULTS
Visual acuity improved postoperatively in 25 of 27 eyes (93%), with a mean improvement of 3.2 Snellen lines. Preoperative and postoperative OCT images were obtained in 24 of 27 eyes (89%) and were judged to have improved or normalized in 22 of 24 (92%) of these patients.


CONCLUSIONS
In patients with central visual loss from a lamellar macular hole, vitrectomy with ILM stripping appears to be a beneficial treatment.
Garretson
Bruce R
BR
Associated Retinal Consultants, Royal Oak, Michigan 48073, USA. bgarretson@msn.com
Pollack
John S
JS
Ruby
Alan J
AJ
Drenser
Kimberly A
KA
Williams
George A
GA
Sarrafizadeh
Ramin
R
D000368:Aged; D000369:Aged, 80 and over; D001485:Basement Membrane / Q000601:surgery; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D016684:Prone Position; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*
D005466:Fluorocarbons; C042852:perflutren; D013459:Sulfur Hexafluoride