Early foveal recovery after macular hole surgery.
OBJECTIVE
To evaluate morphological and functional recovery after macular hole surgery using pars plana vitrectomy (PPV), inner limiting membrane (ILM) peeling, air-tamponade and short-time limited face-down positioning.


METHODS
Retrospective, interventional, non-comparative consecutive case series.


METHODS
Thirty eyes in 30 patients (30 eyes) with unilateral full-thickness macular hole (stage II-IV).


METHODS
All eyes underwent PPV, ILM peeling and fluid-air exchange followed by postoperative face-down positioning for 2 days.


METHODS
Best corrected visual acuity, optical coherence tomography (OCT) assessment of macular integrity, and biomicroscopy at days 3 and 7, and months 1, 3, 6 and 12.


RESULTS
On postoperative day 3, OCT demonstrated macular hole closure in 28 eyes (93%). One eye required vitrectomy 7 weeks after initial surgery due to retinal detachment.


CONCLUSIONS
In the present case series, PPV with Trypan Blue-assisted ILM peeling, short-acting internal tamponade and thus shorter face-down positioning was associated with a 93% macular hole closure rate.
Hasler
P W
PW
University Eye Clinic Basel, Switzerland.
Prünte
C
C
D000368:Aged; D000369:Aged, 80 and over; D019773:Epiretinal Membrane / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005584:Fovea Centralis / Q000503:physiopathology*; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy / Q000379:methods; D011312:Pressure; D016684:Prone Position; D012167:Retinal Perforations / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014343:Trypan Blue; D014792:Visual Acuity; D014821:Vitrectomy
D014343:Trypan Blue