Natural Course and Effect of Preventive Vitrectomy in Stage 1 Macular Holes.
- Author:
Hyun Jung CHOI
1
;
Young Soo YUN
;
Oh Woong KWON
Author Information
1. Department of Ophthalmology, CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Kyonggi-do, Korea.
- Publication Type:Original Article
- Keywords:
Macular hole;
Natural course;
Prophylactic vitrectomy;
Stage 1
- MeSH:
Follow-Up Studies;
Humans;
Medical Records;
Prognosis;
Retinal Perforations*;
Sclerosis;
Vitrectomy*
- From:Journal of the Korean Ophthalmological Society
2000;41(11):2369-2374
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reviewed the medical records of the 65 patients with stage 1 macular holes and evaluated the effect of prophylactic vitrectomy (34 patients)compared with observation only (31 patients).Mean follow up period was 38.2 and 27.7 months, respectively.88.3%of the patients of the vitrectomy group, and 87.1%of the patients of the observation group showed improved or same visual acuity.Postoperative complications were noted in 35.3%of the vitrectomy group, and lens nuclear sclerosis was the most frequent postoperative complication.Progression of stage 1 macular holes to the higher stage hole was noted in 5.9%of vitrectomy group, and 9.6%of the observation group.There was no statistical significance between two groups.And the prognosis of stage 1 macular hole is thought to be favorable.