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Outcomes from the Retrospective Multicenter Cross-Sectional Study on Lamellar Macular Hole Surgery
Hanna Haave1, Beáta Éva Petrovski1, Michał Zając2
1Department of Ophthalmology, Institute for Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Clinical Ophthalmology (Auckland, N.Z.)
|June 15, 2022
Summary
Pars plana vitrectomy (PPV) effectively treats lamellar macular holes (LMH), improving visual acuity in both tractional and degenerative types. Combined phaco-vitrectomy is also successful when cataracts are present.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Lamellar macular hole (LMH) surgery involves internal limiting membrane peeling.
- Understanding functional and anatomical outcomes is crucial for surgical technique selection.
Purpose of the Study:
- To analyze functional and anatomical parameters of lamellar macular hole (LMH) surgery with internal limiting membrane peeling.
- To determine which surgical technique yields the best visual outcome.
Main Methods:
- Retrospective, multicenter, cross-sectional study.
- Patients underwent pars plana vitrectomy (PPV) for LMH with or without phaco-vitrectomy and various tamponades (gas, air, BSS).
- Pre- and postoperative best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) were assessed.
Main Results:
- 66 patients included (mean age 71.79 ± 8.52 years); 71.2% tractional LMH, 28.8% degenerative.
- Significant BCVA improvement postoperatively (p < 0.001) across all analyzed groups.
- No cases of postoperative full-thickness macular hole developed.
Conclusions:
- Pars plana vitrectomy (PPV) demonstrates high success rates for treating both tractional and degenerative LMH.
- Combined phaco-vitrectomy is effective for LMH when cataracts coexist.
- The study confirms PPV's efficacy in improving visual function for LMH patients.
