First Author: O.Yevsyukova UKRAINE
Co Author(s): A. Petrunya L. Goryaev 0 0 0 0 0 0 0 0 0
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Estimation of anatomical and functional results of idiopathic macular holes surgical treatment
Lugansk regional center of eyes diseases, Lugansk, Ukraine
Were analyzed the results of macular holes surgical treatment in 23 patients (23 eyes) , with the term of disease from 2 till 18 months. The average age was 58 years, all patients were female from 45 to 72 years. The second-stage macular hole were observed in 6 eyes (26.1%), the third-stage in 9 eyes (39.1%) and the fourth stage in 8 eyes (34.8%). Ophthalmologic examination were conducted by conventional methods. The best corrected visual acuity (BCVA) was from 0.08 to 0.5. The main criterion for macular hole diagnostics were the results of optical coherence tomography (Stratus OCT 3000). Before the operation, the smallest diameter of hole were measured, which ranged from 270 to 800 microns. All patients underwent a standard subtotal three port pars plana vitrectomy with removal of the internal limiting membrane, followed gas (SF6) tamponade with simultaneous phacoemulsification and posterior chamber IOL implantation
During the control examinations in the period from 2 weeks to 12 months, according to optical coherence tomography of macular holes closing observed in all cases (100%). Early and late postoperative periods complications were not noted. Intraocular pressures were within normal limits for all patients. Functional results showed improvement BCVA from 0.06 to 0.7 depending on the stage of macular hole.When the hole size were less than 400 microns average BCVA was 0,8 (65.2%), with a hole size 400 micron or more - 0,2 (34.8%).
Our experience of idiopathic macular holes surgical treatment showed high anatomical and functional efficiency in 100% of the operated patients. Has been demonstrated the dependency in visual function improving due to diameter of the macular hole.The maximum effect is achieved when the diameter is less than 400 microns.Good awareness of patients and ophthalmologists about the successes and availability of macular holes modern methods of treatment provide rehabilitation with high visual functions in patients with this macular pathology.