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[The estimation of macular hole surgery results]
Edyta Pel-Przybyszewska1, Ewa Szkudlarek, Anna Szkudlarek
1Z III Szpitala Miejskiego im. K. Jonschera w Lodzi.
Purpose:
The purpose of the study was to estimate the results of macular hole surgery.
Material And Methods:
The data contains 57 patients (61 eyes) with stage 3 or 4 macular holes who underwent three port pars plana vitrectomy, ILM peeling and gas endotamponade. Patients were divided into two groups: I group relates to 38 operations conducted without a dye, II group contains 23 eyes which underwent macular surgery with a dye--trypan blue.
Results:
The anatomical success rate after one surgery was 80.7% (47 eyes) and 89.5% (53 eyes) after additional vitrectomy [79% (30 eyes) in group I and 100% (23 eyes) in group II]. The functional improvement was observed in 55.3% (21 eyes) in group I and 74% (17 eyes) in group II. Complications after operations included: retinal detachment, the increase of intraocular pressure and lens opacifications increase.
Conclusions:
Pars plana vitrectomy with ILM peeling is a successfully surgery procedure for macular holes. Trypan blue increases the safety and precision of surgery and improves the postoperative results.