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, Seka State Hospital, Kocaeli, Turkey
DOI : 10.4274/balkanmedj.galenos.2019.2018.12.103

Background: Partial posterior hyaloidectomy is suggested to minimize the traction on the vitreous base and therefore reduce the risk of iatrogenic breaks in patients with macular hole and epiretinal membrane.
Aims: To evaluate the safety and effectivity of limited vitrectomy in patients with macular hole.
Study Design: Retrospective cohort study.
Methods: Fifty-two consecutive patients who underwent macular hole surgery without performing 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, ant it was 0.5 (0.3-0.6) after surgery (p<0.001). Retinal breaks and detachments did not occur in any of our patients. SF6 was used in 24 patients (46.2%), and C3F8 was used in 28 patients (53.8%) Three patients (5.76%) had revision surgery because of the recurrence of 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 removing peripheral vitreous is safe and effective in macular hole surgery. It reduces the risk of peripheral retinal breaks and retinal detachment.

Keywords : Limited vitrectomy, macular hole, pars plana vitrectomy, retinal breaks, retinal detachment

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