Catherine Creuzot, MD (Dijon, France), Alexandre Guillaubey (Dijon, France), Pierre-Olivier Lafontaine, MD (Dijon, France), Pierre-Olivier Lafontaine, MD (Dijon, France), Isabelle Hubert, MD (Nancy, France), Alain Bron, MD (Dijon, France), Jean-Paul Berrod, MD (Nancy, France)


To evaluate the severe complications and particularly retinal detachments after macular surgeries.


A retrospective nonrandomized study of 634 macular surgery procedures was undertaken in 2 centers. Idiopathic macular hole (IMH) surgery for 272 cases and epiretinal membrane (ERM) surgery for 362 cases were performed between 2000 and 2003. We noted the anatomical and functional results of these procedures and we studied serious complications excluding cataract.


Mean follow-up was 28 months (range, 13-56). Twenty four failures or early relapses of the macular hole (8.8%) were observed. Eighteen retinal detachments occurred after macular hole surgeries (6.6%) and 9 after epiretinal membrane procedures (2.5%). We noted 3 cases of elevation of intraocular pressure (IOP) (1.1%) after IMH treatment. Vascular complications were noted in one case of each group (0.4% of IMH and 0.3% of ERM). We observed only one endophthalmitis after ERM surgery (0.3%). Induced posterior vitreous cortex separation, gas tamponade and associated peripheral retina anomaly seem to increase the rate of retinal detachment after macular surgery.


RD is still the most common serious complication of macular surgery. The exam of the peripheral retina is a key issue in preventing retinal detachment occurring after macular surgery.