Title: A clinical study of vitrectomy and internal limiting membrane peeling for traumatic macular hole.
Abstract: Objective To retrospectively investigate traumatic macular hole under vitrectomy and internal limiting membrane peeling. Methods 8 patients with traumatic macular hole in 8 eyes were collected from the July, 2004 to May, 2005. All of them had undergone pars plana vitrectomy, indocyanine green-assisted peeling of the internal limiting membrane and intraocular perfluoropropane tamponade. The closing of trau- matic macular hole and the visual acuity were observed. Results All the 8 cases were full-thickness macular hole. The primary visual acuity was range from counting finger 30 centimeter before the eye to 0.2. Three eyes got vision lower than 0.01. Three between 0.01 and 0.1. Two no lesser than 0.1. Macular hole were formed directly by contusion in three eyes. The other five were chronic ones with epimacular membranes. A complete peeling of internal limiting membranes had been done in each of the 8 cases, and the following-up had been made from 3 months to 6 months. Except for one case being complicated with proliferative retinopathy and undergone a secondary surgery, seven cases (87.5%) had got a closing of macular hole. The best-corrected visual acuity were increased (P0.01) and ranged from counting finger to 0.5 after surgery. The vision of one case was under 0.01, two between 0.01 and 0.1, one between 0.1 and 0.3, four over 0.3. Conclusion Vitrectomy combining with internal limiting membrane peeling and gas tamponade could prompt the closure of traumatic macular hole together with increasing of the vision.
Publication Year: 2006
Publication Date: 2006-01-01
Language: en
Type: article
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