title: [Long-term outcome of vitrectomy combined with internal limiting membrane peeling for idiopathic macular holes].
abstract: OBJECTIVE
  To elucidate the long-term outcome of internal limiting membrane (ILM) peeling on visual function during vitrectomy for idiopathic macular holes using scanning laser ophthalmoscope (SLO) microperimetry.
  
  
  METHODS
  Prospective uncontrolled study.
  
  
  METHODS
  We studied 31 eyes (29 patients) with idiopathic macular holes. All patients underwent vitrectomy with ILM peeling. The SLO microperimetry was performed preoperatively, and once a year for 3 years postoperatively to detect scotomas in and around the macular holes, and both within and in close vicinity to the areas of ILM peeling.
  
  
  RESULTS
  Closure of macular holes after one surgery was confirmed in all cases except for 2 with second surgery. The visual acuity by logarithmic minimum angle of resolution (logMAR) averaged 0.71 +/- 0.36 before surgery, 0.23 +/- 0.31 one year, 0.14 +/- 0.27 two years and 0.12 +/- 0.26 three years after surgery. There was significant improvement up to 2 years after the surgery. All scotomas detected before surgery in the holes, and 77.4% of those detected around the holes decreased gradually. No scotomas were detected in or around the area of ILM peeling either before or after surgery.
  
  
  CONCLUSIONS
  ILM peeling in vitrectomy for idiopathic macular holes successfully improved visual acuity and did not influence retinal sensitivity in and around the area of ILM peeling. The scotomas detected in and around the holes before surgery gradually reduced or disappeared.
authors.affiliation: Department of Ophthalmology, Tokyo Women's Medical University, Japan. kaori@oph.twmu.ac.jp
authors.forename: Kaori
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Sadao
authors.initials: S
authors.lastname: Hori
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009887:Ophthalmoscopy; D011446:Prospective Studies; D012167:Retinal Perforations / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity; D058609:Visual Field Tests; D014821:Vitrectomy