Title: The effects and risks in the treatment of idiopathic macular hole in early stage with internal limiting membrane peeling
Abstract: Objective To investigate the effects and risks in the treatment of idiopathic macular hole in early stage by using vitrectomy combined with internal limiting membrane peeling.Methods 10 eyes of 10 patients with idiopathic macular hole in stage 2 were treated by vitrectomy combined with internal limiting membrane peeling in Zhangshan Ophthomic center between January 2001 and April 2004.The best correct visual acuity was ≥0.5 in all cases.After operation,the best corrected visual acuity,mfERG and Optical coherence topography(OCT)were observed preoperatively and post-operatively.The complications of surgery were evaluated.Results The onset of symptom complained by patients was 1~3 months,average 1.8 month.Pre-operatively,the best corrected visual acuity was 0.5~0.8,mean 0.6.The diameter of macular hole was 180~260μm,mean 212±54μm.The internal limiting membrane around macular hole was peeled successfully in all patients.The fellow-up was 2~30 months,mean 13 months.Post-operatively,the best-corrected visual acuity was 0.5~1.0,mean 0.7.The closure of the macular hole was confirmed by OCT in all patients.Compared with preoperatively Mf-ERG showed the improvement of apparently.The complications included small dots of retina bleeding around macular hole(3 eyes),transient increasing of IOP(2 eyes),feather-like opacity of lens(5 eyes),necrosis of lens(4 eyes).There were no serious complications such as lens damage,retinal detachment,endophthalmitis,reopening of macular hole,the defect of visual field.Conclusions The success surgery of idiopathic macular hole in early stage can interrupt the procession of macular hole,make the macular hole closed,and improve or maintain the visual acuity.but the risks should treated carefully.
Publication Year: 2005
Publication Date: 2005-01-01
Language: en
Type: article
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