Lizana-HC, Quiroz-RMÁ, Graue-WF

Language: Spanish
References: 7
Page: 214-216
PDF size: 36.73 Kb.

ABSTRACT

Objective: To determine the long term results of macular hole surgery and to compare the number of macular holes closed with vitrectomy via pars plana with and without limitorrhexis.
Material and methods: Retrospective study of patients with grade 2 to 4 idiopathic macular hole, who underwent surgery with and without limitorrhexis. We reviewed general information from each patient and a complete ophthalmic examination was performed. The anatomic success was determined 3 months after surgery.
Results: Fifty nine eyes of 54 patients, 36 female and 18 male with an age range of 54 to 80 years. Six eyes had a macular hole grade 2, 15 eyes had a macular hole grade 3 and 38 grade 4. Twenty five eyes underwent surgery with limitorrhexis, resulting in closure in 19 eyes. Thirty four eyes underwent surgery without limitorrhexis, resulting in closure in 31 eyes. Nine eyes had closure failure, 7 with limitorrhexis and 2 without limitorrhexis. The postoperative visual acuity was superior to the preoperative with a p‹0.001.
Conclusions: The difference between macular hole closure with or without limitorrhexis was statistically significant in favor of vitrectomy without limitorrhexis.

REFERENCES

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