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LONG-TERM SURGICAL OUTCOMES AFTER VITRECTOMY FOR SYMPTOMATIC LAMELLAR MACULAR HOLES

Lee, Sung J. MD*; Jang, Sun Y. MD*; Moon, Darachui MD*; Choi, Kyung S. MD*; Jung, Gi Y. MD*,†

doi: 10.1097/IAE.0b013e3182551c3c
Original Study

Purpose: To determine long-term surgical findings and outcomes after vitrectomy for symptomatic lamellar macular holes.

Methods: This is a retrospective, consecutive, interventional case series. Sixteen patients (31 eyes) with lamellar macular holes and central visual loss participated in the study. All patients underwent 3-port pars plana vitrectomy with membranectomy and/or internal limiting membrane peeling and gas tamponade under the care of one author. Best-corrected visual acuity and optical coherence tomography appearance were determined preoperatively and postoperatively.

Results: Final visual acuity improved more than 2 lines postoperatively in 18 eyes (58.1%) and decreased in 2 eyes (6.5%) leading to a mean gain of 0.18 logarithm of the minimum angle of resolution visual acuity during the mean follow-up period of 39 ± 24 months (12–85 months). Twenty-eight eyes (90.3%) improved or normalized in foveal appearance on postoperative optical coherence tomography images of the macula, 1 eye remained unchanged, and 1 eye (3.2%) had chronic cystoid macular edema, 1 eye was unchanged, and 1 eye showed recurrence of lamellar macular hole.

Conclusion: In patients with central visual loss from lamellar macular holes, vitrectomy, membranectomy, and/or internal limiting membrane peeling and gas tamponade appear to have a beneficial effect for a mean of 3 years.

In patients with central visual loss from lamellar macular holes, vitrectomy, membranectomy, and/or internal limiting membrane peeling and gas tamponade appear to have a beneficial effect for a mean of 3 years.

*Department of Ophthalmology, College of Medicine, Soonchunhyang University, Seoul, Korea

Jung's Eye Clinic, Masan, Korea.

Reprint requests: Sung J. Lee, MD, Department of Ophthalmology, College of Medicine, Soonchunhyang University, 657 Hannam-dong Yongsan-gu, Seoul 140-743, Korea; e-mail: wismile@unitel.co.kr

The authors declare no conflict of interest.

© The Ophthalmic Communications Society, Inc.