Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Macular hole surgery in 2000.

A R Margherio1

  • 1Michigan State University College of Human Medicine, Grand Rapids, USA.

Current Opinion in Ophthalmology
|September 8, 2000
PubMed
Summary

Macular hole surgery now exceeds 90% closure rates, especially for acute cases. While internal limiting membrane peeling is vital for complex holes, it may be optional for acute idiopathic macular holes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Laser treatments with verteporfin therapy and its potential impact on retinal practices.

Retina (Philadelphia, Pa.)·2000
Same author

Effect of perifoveal tissue dissection in the management of acute idiopathic full-thickness macular holes.

Archives of ophthalmology (Chicago, Ill. : 1960)·2000
Same author

Plasmin enzyme-assisted vitrectomy in traumatic pediatric macular holes.

Ophthalmology·1998
Same author

Vitrectomy for retained lens fragments after phacoemulsification.

Ophthalmology·1997
Same author

Surgical management of vitreomacular traction syndromes.

Ophthalmology·1989
Same author

Selection of therapeutic agents for intraocular proliferative disease 3. Effects of fluoropyrimidines on cell-mediated contraction of human fibroblasts.

Experimental eye research·1989

Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Idiopathic macular holes (IMHs) are a significant cause of vision loss.
  • Surgical techniques have advanced, improving outcomes for IMH repair.

Purpose of the Study:

  • To review current surgical strategies and outcomes for idiopathic macular holes.
  • To identify factors influencing successful macular hole closure.

Main Methods:

  • Review of surgical techniques including internal limiting membrane peeling and endolaser.
  • Discussion of patient selection, biologic adjuvants, and tamponade options.
  • Analysis of outcomes for acute, chronic, failed, and reopened macular holes.

Main Results:

  • Macular hole closure rates exceed 90% with improved patient selection and surgical experience.
  • Acute IMHs yield the best surgical results.
  • Internal limiting membrane peeling and endolaser are beneficial for complex cases, but may not be essential for acute IMHs with complete posterior vitreous detachment.
  • Silicone oil tamponade is useful for patients with positioning challenges or travel plans.
  • Humidifying infusion air may mitigate postoperative visual field defects.

Conclusions:

  • Macular hole surgery offers significant visual improvement opportunities for all patients.
  • Optimized surgical techniques and patient selection are key to high closure rates.
  • Tailored approaches are necessary for different macular hole types (acute vs. chronic/failed).

Related Experiment Videos