Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning

Area of Science:

• Ophthalmology
• Surgical Innovation
• Retinal Surgery

Background:

• Idiopathic macular holes (MHs) are a significant cause of vision loss.
• Traditional MH repair often requires strict postoperative face-down positioning.
• Evaluating alternative surgical approaches is crucial for patient outcomes.

Purpose of the Study:

• To assess the efficacy of combined vitrectomy and phacoemulsification without postoperative face-down positioning for idiopathic MH repair.
• To determine the anatomical closure rate and functional visual acuity (VA) outcomes.

Main Methods:

• A retrospective observational case series of 42 patients with MH.
• Combined vitrectomy and phacoemulsification performed without mandatory face-down positioning.
• Evaluation of MH closure and VA at 6-month follow-up.

Main Results:

• High initial MH closure rate of 95.2%, with a final closure rate of 100%.
• Significant improvement in mean visual acuity (VA) at 1 month postoperatively.
• Sustained VA improvement observed for at least 6 months.

Conclusions:

• Combined vitrectomy and phacoemulsification without face-down positioning is a safe and effective treatment for idiopathic MHs.
• Favorable anatomical and functional results can be achieved, simplifying postoperative care.
• Patients can expect visual acuity improvement for up to 6 months post-surgery.