Vitreous Surgery for Macular Hole in Perspective

Macular holes: Pathogenesis, natural history and surgical outcomes

“…Following the initial reports of visual improvement, FTMH surgery was recommended only for second eyes. 29 With an 80% to 96% anatomic success rate for FTMH of less than six months, of which 85% have a two-line visual acuity improvement, and the fact that in 85% of eyes visual acuity will deteriorate to less than 6/60 left untreated,2 both unilateral and bilateral FTMH should be considered for surgery. Thus, all patients with symptoms and signs of impending macular hole or FTMH should be examined carefully with slit-lamp contact lens biomicroscopy, and be considered for referral to a vitreoretinal surgeon.…”

Macular holes: Pathogenesis, natural history and surgical outcomes

“…Following the initial reports of visual improvement, FTMH surgery was recommended only for second eyes. 29 With an 80% to 96% anatomic success rate for FTMH of less than six months, of which 85% have a two-line visual acuity improvement, and the fact that in 85% of eyes visual acuity will deteriorate to less than 6/60 left untreated,2 both unilateral and bilateral FTMH should be considered for surgery. Thus, all patients with symptoms and signs of impending macular hole or FTMH should be examined carefully with slit-lamp contact lens biomicroscopy, and be considered for referral to a vitreoretinal surgeon.…”

Resolution of an external layer macular hole associated with an optic nerve pit after laser photocoagulation.

“…Brown et al3 reviewed 75 patients with optic nerve pits and found that 24 of the 38 patients with macular detachments had cystic changes in the macula. Lamellar macular holes were present in the outer layer of the retina in 10 of the 24 eyes.…”

Remote functional and anatomical results of idiopathic macular hole surgery performed without postsurgical vitreous cavity tamponade

“…К ром е того, при газовой там пон аде более чем в 50 % случаев в течение 6 мес развивается катаракта [22], а взаимодействие газа с остатками стекловидного тела может провоцировать развитие пролиферативной витреоретинопатии, возникновение тракций и, как следствие, разрывов и отслойку сетчатки [23].…”

Macular holes: Pathogenesis, natural history and surgical outcomes

“…Following the initial reports of visual improvement, FTMH surgery was recommended only for second eyes. 29 With an 80% to 96% anatomic success rate for FTMH of less than six months, of which 85% have a two-line visual acuity improvement, and the fact that in 85% of eyes visual acuity will deteriorate to less than 6/60 left untreated,2 both unilateral and bilateral FTMH should be considered for surgery. Thus, all patients with symptoms and signs of impending macular hole or FTMH should be examined carefully with slit-lamp contact lens biomicroscopy, and be considered for referral to a vitreoretinal surgeon.…”

Resolution of an external layer macular hole associated with an optic nerve pit after laser photocoagulation.

“…Brown et al3 reviewed 75 patients with optic nerve pits and found that 24 of the 38 patients with macular detachments had cystic changes in the macula. Lamellar macular holes were present in the outer layer of the retina in 10 of the 24 eyes.…”

Remote functional and anatomical results of idiopathic macular hole surgery performed without postsurgical vitreous cavity tamponade

“…К ром е того, при газовой там пон аде более чем в 50 % случаев в течение 6 мес развивается катаракта [22], а взаимодействие газа с остатками стекловидного тела может провоцировать развитие пролиферативной витреоретинопатии, возникновение тракций и, как следствие, разрывов и отслойку сетчатки [23].…”

Macular holes: Pathogenesis, natural history and surgical outcomes

“…Following the initial reports of visual improvement, FTMH surgery was recommended only for second eyes. 29 With an 80% to 96% anatomic success rate for FTMH of less than six months, of which 85% have a two-line visual acuity improvement, and the fact that in 85% of eyes visual acuity will deteriorate to less than 6/60 left untreated,2 both unilateral and bilateral FTMH should be considered for surgery. Thus, all patients with symptoms and signs of impending macular hole or FTMH should be examined carefully with slit-lamp contact lens biomicroscopy, and be considered for referral to a vitreoretinal surgeon.…”

Resolution of an external layer macular hole associated with an optic nerve pit after laser photocoagulation.

“…Brown et al3 reviewed 75 patients with optic nerve pits and found that 24 of the 38 patients with macular detachments had cystic changes in the macula. Lamellar macular holes were present in the outer layer of the retina in 10 of the 24 eyes.…”

Remote functional and anatomical results of idiopathic macular hole surgery performed without postsurgical vitreous cavity tamponade

“…К ром е того, при газовой там пон аде более чем в 50 % случаев в течение 6 мес развивается катаракта [22], а взаимодействие газа с остатками стекловидного тела может провоцировать развитие пролиферативной витреоретинопатии, возникновение тракций и, как следствие, разрывов и отслойку сетчатки [23].…”