First Author: R.Manriquez CHILE
Co Author(s): R. Moya P. Suarez 0 0 0 0 0 0 0 0 0
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To analyse clinical features, visual outcomes, and ocular co-morbilities of patients who underwent pars plana vitrectomy (PPV), internal limiting membrane (ILM) peel and gas as a tamponade for traumatic macular hole.
Ocular Trauma Unit (OTU), Hospital Salvador. Santiago, Chile
Retrospective analysis of patients who underwent PPV, ILM peel and gas tamponade followed by prone position for 3 days for traumatic macular hole, presented at a tertiary referal centre between 1st of January 2010 and 31th December 2013. Clinical details were recorded to include primary diagnosis, associated ocular co-morbidities, number of procedures, time between presentation and surgery, presence of cataract and surgical complications. Imaging using OCT cirrus (Zeiss, Obercochen, Germany), was collated. Two or more lines of Snellen visual acuity improvement 3 month after surgery was considered a favorable outcome.
Ten patients with traumatic macular hole underwent surgery, the macular hole was successfully closed in 8 of 10 cases (80%). The visual acuity improved two or more Snellen lines in 3 cases (33%) cases. Associated ocular maculopathy were sub-retinal haemorrhage in 2 cases, posterior pole traumatic edema in 6 cases and choroidal rupture line affecting the fovea in 2 cases.
PPV can successfully close macular holes associated with ocular trauma although visual acuity does not improve on the same level due macular co-morbidities