Anatomical and Functional Results in Macular Hole Surgery

Authors

  • Khalid Waheed
  • Nasrullah Khan
  • Saqib Siddique
  • Muhammad Tayyib

Keywords:

Macular hole, Pars plana vitrectomy, internal tamponade

Abstract

Objective: To assess the anatomical and functional results in macular hole surgery
Material & Methods: This study was conducted in the department of ophthalmology, SIMS/
Services Hospital Lahore over a period of one year between July 2008 to July 2009. Eighteen
eyes of eighteen patients were included in this study. Pars plana vitrectomy was done in all cases.
Internal limiting membrane (ILM) staining with trypan blue or brilliant Perfluoropropane (C3F8)
14% was used in 17 cases and silicone oil was used in one case for internal tamponade. Patients
were advised to posture in face down position for one week. All patients were followed-up for at
least six months.
Results: 18 eyes of 18 patients were operated. 15 (83.33%) patients had idiopathic while 3
(16.66%) had secondary macular holes. There were 17 (94.44%) phakic and 1 (5.55%)
pseudophackic patients. In 5 (27.77%) ILM staining was done with brilliant peel while in 13
(72.22%) patients Trypan blue was used. For internal tamponade C3F8 was used in 17(94.44%)
patients and in 1 (5.55%) silicone oil was used. Postoperatively, 100% macular hole closure was
achieved in all cases with at least 6 month follow-up.
Conclusion: Pars plana vitrectomy with ILM peeling is a very effective technique for the surgical
closure of full thickness macular holes. This technique should be combined with post-operative
head posturing for at least one week to expedite hole closure.

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Published

2023-08-16

How to Cite

1.
Waheed K, Khan N, Siddique S, Tayyib M. Anatomical and Functional Results in Macular Hole Surgery. Esculapio - JSIMS [Internet]. 2023 Aug. 16 [cited 2024 Nov. 23];7(4):34-6. Available from: https://esculapio.pk/journal/index.php/journal-files/article/view/812

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Section

Original Articles