PMID: 11927851Apr 3, 2002Paper

Macular hole repair with minimal vitrectomy

Retina
Richard F Spaide

Abstract

Conventional macular hole surgery usually involves removing 80% of the intraocular contents to repair a hole a few hundred micrometers in diameter. Although the success rate for conventional surgery is good, it may be possible to reduce the number of complications with less invasive surgery. A newly designed microspatula knife was used to dissect the connection between the vitreous and the retina previously delineated by optical coherence tomography. The posterior vitreous was not stripped from the retinal surface. Limited vitrectomy over the hole was performed to create a space for a gas bubble. The macular holes in three eyes of three patients were closed with this technique with no operative or postoperative complications after a mean follow-up of 8.7 months. The mean change in visual acuity was 6.3 lines. It is possible to repair macular holes by using optical coherence tomography to guide the dissection of the vitreous from the macular hole followed by limited vitrectomy. By using a less invasive approach, it may be possible to repair macular holes in less operative time and with fewer complications.

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Citations

Jan 18, 2005·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·S Dithmar
Jan 15, 2009·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·William Gualtieri
Jan 6, 2004·International Ophthalmology Clinics·Omar F Ahmad, Tatsuo Hirose
Dec 8, 2006·Retina·Christoph ScholdaWolfgang Drexler
Oct 17, 2012·Case Reports in Ophthalmology·R ReisA Meireles
Mar 12, 2004·American Journal of Ophthalmology·William E Smiddy, Harry W Flynn
Jan 13, 2004·Journal of Biomedical Optics·Wolfgang Drexler
Jun 19, 2007·Survey of Ophthalmology·Rukhsana G MirzaLee M Jampol
Jan 18, 2005·American Journal of Ophthalmology·Jon WenderLucian V Del Priore
May 8, 2020·JAMA Ophthalmology·William E SmiddyElizabeth A Vanner
Jan 7, 2004·Retina·Vincent Y W LeeDennis S C Lam
Nov 6, 2020·Journal of Ophthalmology·Matteo ForliniAlessandro Meduri

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