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Updated: Jul 29, 2026
Whole Vitreous Humor Dissection for Vitreodynamic Analysis
Published on: May 24, 2015
Traumatic macular hole: observations, pathogenesis, and results of vitrectomy surgery
R N Johnson1, H R McDonald, H Lewis
1Retina Research Fund of St. Mary's Medical Center, San Francisco, California 94109, USA.
Purpose:
To review our experience with vitrectomy surgery techniques for the treatment of traumatic macular holes and the biomicroscopic and surgical findings.
Design:
Retrospective noncomparative, multicenter, case series.
Participants And Intervention:
Twenty-five patients with traumatic macular hole underwent surgical repair.
Intervention:
Vitrectomy with membrane peeling and gas injection followed by prone positioning for 7 to 14 days.
Main Outcome Measures:
Postoperative evaluation included visual acuity testing, closure of the macular hole, and ocular complications.
Results:
The macular hole was successfully closed in 24 of 25 cases (96%). The visual acuity improved two or more lines in 21 (84%) cases, and 16 (64%) achieved 20/50 or better vision.
Conclusions:
Vitrectomy surgery can successfully close macular holes associated with trauma and improve vision.
