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Outcome of macular hole surgery in diabetic patients with nonproliferative retinopathy
Blake A Cooper1, Gaurav K Shah, Thomas G Sheidow
1Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, USA.
Purpose:
To determine the outcome of macular hole surgery in a diabetic population with no evidence of proliferative retinopathy.
Methods:
This is a retrospective chart review of 183 patients (194 eyes) undergoing pars plana vitrectomy for an idiopathic macular hole.
Results:
The anatomic closure rate for the diabetic patients without proliferative retinopathy was 93.8% (15/16), compared with 94.9% (169/178) for nondiabetic patients. A best corrected visual acuity of 20/50 or greater was obtained in 50% of diabetic patients (8/16), compared to 58.4% of nondiabetic patients (104/178). There was no difference in postoperative complications between the two groups.
Conclusion:
The anatomic closure rate and visual outcome after macular hole surgery in diabetic patients without proliferative retinopathy is comparable to that of nondiabetic patients.
