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Surgical treatment of traumatic macular hole
Author(s) -
Ruban A.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.03513
Subject(s) - macular hole , medicine , vitrectomy , visual acuity , ophthalmology , fundus (uterus) , retinal , displacement (psychology) , surgery , psychology , psychotherapist
Purpose To present the results of the treatment of traumatic macular holes. Methods This study is a retrospective consecutive case series of 7 patients who underwent a 25G PPV with the displacement of macular retina after subretinal balanced salt solution injection to treat traumatic full thickness macular holes ( TFMH ). The efficiency was evaluated by the anatomical macular hole closure rate and best‐corrected visual acuity ( BCVA ) during follow‐up visits. The degree of retinal displacement was accessed by comparing the preoperative and postoperative fundus photographies. Results Complete closure of macular hole was achieved in 85,7% and 14,3% had partial closure. Average macular hole diameter was (825 μ m). Visual acuity after surgery in the total group was significantly increased. All patients revealed a negative correlation between postoperative visual acuity and the time elapsed from the moment of the trauma, and a strong positive correlation between the macular hole size and elapsed time from the injury. There were no intraoperative or postoperative complications. Conclusion Vitrectomy with the «retinal displacement» technique may be an effective addition to surgical options for treating traumatic macular holes.