Vitreous Surgery for Macular Hole.

Kim, Jong Ook; Lee, Se Yaup; Kim, Kwang Soo

Original Article

Journal of the Korean Ophthalmological Society 1995;36(11):1947-1953.
Published online November 1, 1995.

Vitreous Surgery for Macular Hole.

Jong Ook Kim, Se Yaup Lee, Kwang Soo Kim

Department of Ophthalmology, School of Medicine, Keimyung University, Taegu, Korea.

황반원공 치료를 위한 유리체수술

김종욱(Jong Ook Kim),이세엽(Se Youp Lee),김광수(Kwang Soo Kim)

Abstract

Idiopathic macular holes are believed to arise from traction of the posterior vitreous membrane. Traditionally, macular holes have been considered as untreatable condition, but recently vitreous surgeries are being attempted to manage them. Pars plana vitrectomy in conjunction with separation of the posteror vitreous membrane and intraocular achieve visual improvement and anatomic reattachment in eyes with full thickness macular hole. A total of 9 eyes which included 2 eyes with stage 2 macular hole and 7 eyes with stage 4 macular hole underwent vitrectomy. The macular holes were successfully occluded in all 9 eyes and visual improvement of two lines or more was achieved in 6(67%) in which symptom duration was 3 months or less and/or hole size was 1/3DD or smaller. These results suggested that the full thickness macular holes would be surgically treatable lesions and better visual results can be expected in cases with shorter duration and smaller size.

Key Words: Macular hole;Pars plana vitrectomy;Visual improvement