Titel | Idiopathic macular hole surgery: what are the results now? |
Doel | To evaluate the visual results and complications of idiopathic macular hole (IMH) surgery in a consecutive series of eyes operated on by one single surgeon with one single technique in one single facility. |
Methodes | This retrospective study is dealing with 57 eyes treated for IMH and with a 6-month follow-up visit. During the study period, 65 eyes were operated on, among which 8 were lost for follow-up. The main study parameters are preoperative and 6-month distance and near best-corrected visual acuities (BCVA), and the incidence, nature and consequences of per- and postoperative complications. |
Resultaten | Mean distance BCVA improves from 0.26 preoperatively to 0.48 at 6 months. At 6 months, distance BCVA improves in 44 eyes and doesn’t change in 8 eyes. Cataract increase only is responsible for worsening of distance BCVA in 5 eyes. Mean near BCVA improves from 0.22 to 0.59. Near BCVA is not available at 6 months for 3 eyes, improves in 50 eyes and doesn’t change in 2 eyes. Dense cataract is responsible for worsening in 2 eyes. A retinal tear or small retinal detachment is observed ant treated during surgery in 12 eyes. None develops such a complication postoperatively. Except for cataract, none of the complications observed in this study interferes with IMH surgery functional results at 6 months. |
Conclusie | Nowadays, IMH surgery is a safe and efficient treatment with satisfactory functional results in a vast majority of cases. |
Naam | FORTUNATI |
Initialen | M |
Instituut | Université Catholique de Louvain. U.C.L. |
Stad | Brussels |
Naam | Gribomont |
Initialen | AC |
Instituut | Université Catholique de Louvain. U.C.L. |
Stad | Brussels |