Vitreous surgery for macular holes
- VernacularTitle:黄斑裂孔玻璃体手术
- Author:
Hongshen HUANG
;
Jian SUN
;
Guirong HU
;
Jinlian ZHENG
- Publication Type:Journal Article
- Keywords:
vitrectomy;
macular hole;
perfluoropropane (C3 F8);
gas tamponade
- From:
Recent Advances in Ophthalmology
2000;20(6):430-431
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the anatomic and visual outcomes of a series of patients with macular holes who underwent vitreous surgery without adjunctive therapy.Methods We performed a retrospective review of 16 patients who underwent vitrectomy, fluid-gas exchange and perflu oropropane(C3 F8) gas temponade for 14 eyes with idiopathic and 2 eyes with traumatic macular holes.Results Anatomical closure of the macular holes was achieved in 15(93%) of 16 eyes with an average follow-up of 7 months. Only one eye needed performing second surgery. Three(19%) eyes achieved postoperative visual acuity of 0.4, four (25%)eyes 0.2～0.3,and nine(56%)eyes 0.1 or worse. Conclusions Vitreous surgery without adjunctive therapy with intraocular gas tamponade and postoperative posturing is a well tolerated and effective intervention for idiopathic or some traumatic macular holes. Anatomical closure of the macular hole is associated with a significant improvement in visual acuity in most eyes.
