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Surgery for pre-macular fibrosis
N S Muralidhar1, T J Playfair, J C Gregory-Roberts
1Sydney Eye Hospital, Woolloomooloo, Australia.
Australian and New Zealand Journal of Ophthalmology
|February 1, 1990
Summary
Vitreous surgery effectively removed pre-macular fibrosis (PMF) in 12 patients, improving visual acuity (VA). While generally successful, PMF after retinal detachment surgery led to poorer outcomes.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Vitreoretinal Diseases
Background:
- Pre-macular fibrosis (PMF) is a condition affecting vision.
- Surgical intervention is considered for PMF.
- Understanding outcomes of surgical treatment is important.
Purpose of the Study:
- To evaluate the efficacy of vitreous surgical techniques for treating pre-macular fibrosis (PMF).
- To assess visual acuity outcomes in patients undergoing PMF surgery.
Main Methods:
- Retrospective review of 12 consecutive cases of pre-macular fibrosis (PMF).
- All patients were treated with vitreous surgical techniques.
- Data collected included causes of PMF, surgical outcomes, and visual acuity (VA).
Main Results:
- The pre-macular membrane was successfully removed in all 12 patients.
- All patients experienced improved visual acuity (VA) of at least two Snellen lines.
- Six patients achieved a final VA of 6/12 or better.
- One patient experienced a retinal detachment post-surgery, which was successfully repaired.
- Patients with PMF secondary to retinal detachment surgery had poorer final VA.
Conclusions:
- Vitreous surgical techniques are effective in removing pre-macular fibrosis (PMF) and improving visual acuity (VA).
- While surgical outcomes are generally favorable, pre-macular fibrosis following retinal detachment surgery may result in less optimal visual outcomes.