[Surgical treatment of an idiopathic macular hole: preliminary results]

Our preliminary results include 8 patients (8 eyes) presenting with an idiopathic stage III full-thickness macular hole (Gass classification), 6-month-old or less by history. Five eyes were examined after complete disappearance of the gas C3F8 injected in the vitreous cavity at completion of surgery. Anatomical success, defined as a macular hole with a 360 degree flat edge, or as a macular hole which is no more visible, was obtained in 4 cases out of 5, as well as functional success, defined as a visual acuity improvement of 2 lines or more on the Snellen chart. Keeping in mind the well-known natural history of idiopathic full-thickness macular holes, our preliminary results are encouraging and allow us to persevere in this surgery, whom indications and optimal methods are still to be defined.