PMID: 11320012Apr 26, 2001Paper

Traumatic macular hole: observations, pathogenesis, and results of vitrectomy surgery

Ophthalmology
R N JohnsonJ C Folk

Abstract

To review our experience with vitrectomy surgery techniques for the treatment of traumatic macular holes and the biomicroscopic and surgical findings. Retrospective noncomparative, multicenter, case series. Twenty-five patients with traumatic macular hole underwent surgical repair. Vitrectomy with membrane peeling and gas injection followed by prone positioning for 7 to 14 days. Postoperative evaluation included visual acuity testing, closure of the macular hole, and ocular complications. The macular hole was successfully closed in 24 of 25 cases (96%). The visual acuity improved two or more lines in 21 (84%) cases, and 16 (64%) achieved 20/50 or better vision. Vitrectomy surgery can successfully close macular holes associated with trauma and improve vision.

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