Journal of the Korean Ophthalmological Society 1997;38(10):1797-1802.
Published online October 1, 1997.
The Effect of Vitrectomy for the Treatment of Macular Holes.
Hyeong Kook Kim, Sung Bum Hong, Oh Woong Kwon
1Department of Ophthalmology, College of Medicine, Yonsei University, Institute of Vision Research, Seoul, Korea.
2Department of Ophthalmology, College of Medicine, Inha University.
황반원공에서의 유리체 절제술 효과
김형국(Hyeong Kook Kim),홍성범(Sung Bum Hong),권오웅(Oh Woong Kwon)
Abstract
The Neurosensory retinal detachment contributes to the visual loss in the idiopathaic macular holes. Vitrectomy can be performed to reattach the retina by removing anterior-posterior and tangential traction between cortical vitreous and macular surface. Also bioadhesives, like autologous serum or platelets aggregates are used to flatten of surrounding rim detachment of macular holes. Among 22 eyes that underwent vitrectomy for the treatment of macular holes, anatomic success was achieved in 12 eyes (59.1%), and visual improvement in 10 eyes (45.5%). The time interval between diagnosis and operation was well-correlated to the functional success rate, while the type of surgical procedures was not. Postoperative complications included 2 cases of cataract, and 1 case of retinal detachment.
Key Words: macular hole;vitrectomy;autologous serum;platelet aggregates


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