[Treatment of macular hole retinal detachment with vitrectomy]

Pars plana vitrectomies were performed on 64 eyes with macular hole retinal detachment of which 20 with severe proliferative vitreoretinopathy (PVR C-D) and 18 with definite vitreoretinal traction on the maculae were found. Retinal reattachment occurred in 57 eyes in the follow-up (89.1%) of which the visual acuities improved in 43 (74.5%), unchanged in 13 and decreased in 1. The points for attention in the operation were discussed. The key factors influencing the success of the operation are severe PVR, the course of the retinal detachment.