http://www.evrs.eu/medias/2005/congress/Results-of-Surgery-in-Traumatic-Macular-Holes.swf

Tugrul Altan, Mehmet Çakir, Ziya Kapran, Irfan Perente, Nur Acar, Yaprak B. Ünver, Zerrin Bayraktar, Canan Aslı Utine

Purpose:

To evaluate the anatomical and functional success of pars plana vitrectomy (PPV) in traumatic macular holes.

Methods:

The records of 5 eyes of 5 patients who underwent PPV due to traumatic macular hole between September 2001 and November 2004 were retrospectively examined. The data were analysed with respect to the change in best corrected visual acuity (BCVA) and postoperative anatomical success. Mean duration between the surgery and traumatic visual loss was 13,6 ± 15.6 months.

Results:

PPV and internal limiting membrane (ILM) peeling with indocyanine green dye was done in all eyes, epiretinal membrane peeling was done in 1 eye, sulfur hexafluoride (SF6) gas tamponade was used in 3 eyes and perfluoropropane tamponade (C3F8) was used in 2 eyes. Peroperative complication did not occur in any of the eyes. Patients were followed-up for 7,75 ± 12,03 months. BCVA improved in 3 eyes more than 1 Snellen line, unchanged in 2 eyes. One of the eyes underwent repeated vitrectomy for the recurrence of the hole (with SF6 tamponade). Retinal detachment developed in 1 eye, PPV and silicone oil injection was performed. At the last visit, the holes were closed in 3 eyes, reopened in 2 eyes. The persisting 2 holes were in the eyes with longer duration between traumatic visual loss and the surgery.

Conclusion:

The anatomical and functional success in traumatic macular holes were limited after PPV in this series. Early surgery may improve success rate of the surgery.

Take-home message:

The success rate of vitrectomy in traumatic macular hole were limited, early surgery may improve the success rate of the surgery.