Original ArticlesMacular hole surgery in conjunction with endolaser photocoagulation
Section snippets
Patients and methods
This study was a prospective consecutive series of eyes treated for full-thickness macular hole with application of endolaser photocoagulation to the retinal pigment epithelium at the center of the hole. Eight eyes of seven patients with a diagnosis of stage 2 to 4 macular hole underwent macular hole surgery. Eligibility criteria included a full-thickness macular hole with a surrounding cuff of neurosensory retinal detachment. We excluded patients with predisposing factors for macular hole,
Results
All eight eyes of seven patients that underwent surgery had a closed macular hole at a mean of 8.6 months (range, 6 to 12 months) after surgery. In all eight eyes, best-corrected visual acuity improved at least 3 lines (Table). Four (50%) of the eight eyes with closed macular holes had a visual acuity of 20/40 or better 6 months after surgery. There was no significant difference related to the variables of endolaser photocoagulation.
During the laser procedure, the retinal pigment epithelium
Discussion
Kelly and Wendel3 reported that 42% of the macular holes in their study failed to close with their originally described procedure. They postulated various reasons for failure, including insufficient gas tamponade, poor patient compliance, and residual epiretinal membrane. Many investigators tried to increase the success rate of macular hole surgery by using several types of adjuncts.7, 8, 9 Glaser and associates4 reported improved results from pars plana vitrectomy in closing macular holes with
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