Effect of Internal Limiting Membrane Peeling in Idiopathic Macular Holes Stage 3, 4.
- Author:
Yong Sun KIM
1
;
Yong Baek KIM
Author Information
1. Department of Ophthalmology, College of Medicine, Chungnam National University, Taejon, Korea.
- Publication Type:Original Article
- Keywords:
Internal limiting membrane;
Macular hole;
Surgery
- MeSH:
Intraocular Pressure;
Membranes*;
Retinal Perforations*;
Retinaldehyde;
Visual Acuity;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2001;42(3):446-452
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to assess the surgical results of internal limiting membrane peeling during pars plana vitrectomy for the treatment of idiopathic macular holes. METHODS: Ten patients(10 eyes) with idiopathic macular hole stage 3 or 4 underwent pars plana vitrectomy with peeling of the macular internal limiting membrane, and total fluid-gas exchange, and were positioned face-down for 2 weeks. RESULTS: Anatomic success was achieved in 10 eyes(100%), and visual improvement of 2 or more lines on Han Chun Suk visual acuity chart was achieved in 5 eyes(50%). Eyes with symptoms of less than 6 months showed better functional recovery than eyes with symptoms of more than 6 months. Transmission electron microscopic examination showed internal limiting membrane in the removed specimens. Complications attributed to the operation included nucleosclerosis, transient high intraocular pressure, and retinal pigment epithelial degeneration. CONCLUSIONS: Internal limiting membrane peeling may be a useful adjunct for the successful macular hole surgery.
