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Related Experiment Videos

Macular hole surgery-associated peripheral visual field loss

T Arima1, A Uemura, S Otsuka

  • 1Department of Ophthalmology, Kagoshima University Faculty of Medicine, Japan.

Japanese Journal of Ophthalmology
|January 14, 1999
PubMed
Summary

Peripheral visual field loss can occur after macular hole surgery. This complication, often asymptomatic and permanent, may not be uncommon following vitrectomy and fluid-gas exchange procedures.

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Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Macular hole surgery, typically involving vitrectomy and fluid-gas exchange, aims to restore central vision.
  • Peripheral visual field loss is a potential, though not fully understood, complication.

Purpose of the Study:

  • To investigate the incidence and characteristics of peripheral visual field loss after idiopathic macular hole surgery.
  • To assess the potential link between surgical trauma and optic nerve head damage.

Main Methods:

  • Retrospective review of 38 consecutive patients (44 eyes) undergoing vitrectomy and fluid-gas exchange for idiopathic macular holes.
  • Postoperative assessment of visual fields and retinal nerve fiber layer thickness.

Main Results:

  • Peripheral visual field loss developed in 22.7% of eyes (9 patients).

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  • The defect was typically mild to moderate, wedge-shaped, affecting the inferotemporal periphery.
  • Most cases were asymptomatic, and the visual field loss remained stable long-term, with one recovery.

    • Conclusions:

    • Peripheral visual field defects are a potentially common complication after successful macular hole surgery.
    • The exact pathomechanism, possibly related to surgical trauma, requires further investigation.
    • This complication is usually permanent and variable in severity.