First Author: A.Avunduk TURKEY
Back to previous
To determine the efficacy of pars plana vitrectomy and silicone oil tamponade as a primary procedure in the treatment of idiopathic macular hole.
Retrospective chart review.
We retrospectively reviewed the charts of 9 eyes of 9 patients who have been operated during last six months by the same surgeon. All patients had been operated by a complete pars plana vitrectomy (PPV) including internal limiting membrane (ILM) peeling followed by silicone oil tamponade. A full ophthalmological examination including best corrected visual acuity determination, slit lamp examination of anterior segment, intraocular pressure determination, and biomicroscopic examination of posterior segment performed to all patients preoperatively and at postoperative follow up visits. The preoperative staging of macular holes and postoperative outcomes were assessed by using spectral domain optical coherence tomography (SD-OCT).
: Patient’s ages ranged between 31-81 years old (60±15,18 SD). Eight of them were female and only one patient was male. Follow up period ranged between 1-6 months. According to preoperative SD-OCT assessment, four eyes were at stage 2, three eyes were at stage 3, and remaining 2 eyes were at stage 4. Visual acuities were improved significantly in 5 patients and remained same level in 5 patients at final visits. All holes except one were found to be closed at final exam. Only one very large hole remained open.
: PPV/silicone oil tamponade gave good anatomical and functional outcomes in the treatment of idiopathic macular hole. However, a longer period of follow-up of larger group of patients is absolutely necessary.