ISSN : 2146-3123
E-ISSN : 2146-3131

Limited Vitrectomy in Patients with Idiopathic Macular Hole
Berna Özkan1, Veysel Levent Karabaş2, Büşra Yılmaz Tuğan3, Özgül Altıntaş1
1Department of Ophthalmology, Acıbadem Mehmet Ali Aydınlar University School of Medicine, İstanbul, Turkey
2Department of Ophthalmology, Kocaeli University School of Medicine, Kocaeli, Turkey
3Clinic of Ophthalmology, İzmit Seka State Hospital, Kocaeli, Turkey
DOI : 10.4274/balkanmedj.galenos.2019.2018.12.103
Pages : 320-323


Background: Partial posterior hyaloidectomy is suggested to minimize traction on the vitreous base and thus reduce the risk of iatrogenic breaks in patients with macular hole and epiretinal membrane.
Aims: To evaluate the safety and efficacy of limited vitrectomy in patients with macular hole.
Study Design: Retrospective cohort study.
Methods: Fifty-two consecutive patients who underwent macular hole surgery without complete peripheral vitreous removal were included in the study. The improvement in visual acuity, the incidence of retinal breaks and detachment, anatomical results, and intraoperative and postoperative complications of this technique were evaluated.
Results: The median visual acuity was 0.2 (0.1-0.4) before surgery and 0.5 (0.3-0.6) after surgery (p<0.001). None of the patients had retinal breaks or detachments. A sulfur hexafluoride was used in 24 patients (46.2%), and perfluoropropane was used in 28 patients (53.8%). Three patients (5.76%) had revision surgery because of recurrence of the macular hole. We did not observe proliferative vitreoretinopathy or surgery-related major complications in any patient during the follow-up period.
Conclusion: Limited vitrectomy without removal of the peripheral vitreous seems to be effective and safe with minimal risk of peripheral retinal breaks and detachment.

Keywords : Idiopathic, macular hole, retinal breaks, retinal detachment, vitrectomy
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