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[Anatomical and functional results after elective macular surgery]
Summary
Pars plana vitrectomy (PPV) for macular pucker and macular holes significantly improves visual acuity and functional outcomes. Vision-threatening complications requiring repeat surgery occurred in only 2.1% of cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
Context:
- Macular pucker and macular holes are common retinal conditions affecting central vision.
- Surgical intervention is often considered to improve visual function.
Purpose:
- To evaluate the anatomical and functional outcomes of pars plana vitrectomy (PPV) in patients with macular pucker or macular holes.
- To assess the complication rate associated with this surgical approach.
Summary:
- 381 eyes underwent PPV for macular pucker (n=244) or macular holes (n=137).
- Macular hole closure was achieved in 92.2% of cases.
- Visual acuity improved significantly in both groups, with metamorphopsia improvement in 46.6% of macular pucker cases.
Impact:
- PPV demonstrates a positive influence on functional parameters compared to the natural course of these conditions.
- The rate of vision-threatening complications requiring a second surgery was low at 2.1%.