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Early Foveal Recovery after Macular Hole Surgery
  1. Pascal W Hasler (haslerp{at},
  2. Christian Pruente (christian.pruente{at}
  1. Eye Clinic Glostrup, University of Copenhagen, Denmark
  2. Medical University Vienna, Department of Ophthalmology and Optometry, Austria


    PURPOSE: To evaluate morphologic and functional recovery after macular hole surgery using pars plana vitrectomy (PPV), inner limiting membrane (ILM) peeling, air-tamponade, and short-time limited face-down positioning.

    DESIGN: Retrospective, interventional, non-comparative consecutive case series.

    PATIENTS: Thirty eyes in 30 patients with unilateral full-thickness macular hole (stage II-IV).

    INTERVENTION: All eyes underwent PPV, ILM peeling and fluid-air exchange followed by postoperative face-down positioning for two days.

    MAIN OUTCOME MEASURES: Best corrected visual acuity (BCVA), optical coherence tomography (OCT) assessment of macular integrity, and biomicroscopy at days 3, 7 and months 1, 3, 6 and 12.

    RESULTS: On postoperative day 3, OCT demonstrated macular hole closure in 28 eyes (93%). One eye required vitrectomy seven weeks after initial surgery due to retinal de-tachment.

    CONCLUSIONS: In the present case series, PPV with trypan blue-assisted ILM peeling, short acting internal tamponade and thus shorter face-down positioning was associated with a 93% macular hole closure rate.

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