The changing trend in the surgical treatment of macular holes

The Vitreo-Retinal Service in the past 2 years enjoyed a high level of success in managing retinal detachments arising from macular holes. There was only one recorded failure. Twelve eyes in 11 patients were subjected to various modalities of treatment. This ranged from single out-patient laser photocoagulation to conventional sling procedure and ultimately the complex vitrectomy with its adjust gas-fluid exchange. Numerous intraoperative complications and their remedies were also highlighted. Competency in the management of this rare and difficult condition is an indicator of the maturity of the Vitreo-Retinal Service.