title: Surgery for full-thickness macular hole in patients with idiopathic macular telangiectasia type 2.
abstract: The authors report surgical outcomes of full-thickness macular hole repair in two patients with idiopathic macular telangiectasia in a non-comparative case series. Both patients underwent pars plana vitrectomy with indocyanine green-assisted internal limiting membrane peeling and injection of 16% C(3)F(8) gas. Patients were imaged with optical coherence tomography (OCT) before and after surgery. The first patient demonstrated macular hole closure on examination and OCT with visual improvement from 20/50 preoperatively to 20/30 after macular hole surgery and subsequent cataract surgery. The second patient's hole closed per OCT immediately after surgery but reopened 4 months later, and visual acuity remained 20/70. Macular hole surgery may be an effective treatment in patients with idiopathic macular telangiectasia and full-thickness macular holes and should be further investigated.
authors.affiliation: Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA. ngregori@med.miami.edu
authors.forename: Ninel
authors.initials: N
authors.lastname: Gregori
authors.forename: Harry W
authors.initials: HW
authors.lastname: Flynn
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction; D004396:Coloring Agents; D019773:Epiretinal Membrane / Q000150:complications / Q000601:surgery; D006801:Humans; D007208:Indocyanine Green; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012167:Retinal Perforations / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012171:Retinal Vessels; D013684:Telangiectasis / Q000150:complications*; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green