In this study, all eyes completed one-month follow-up and 61 of 68 eyes completed the three-month follow-up.įindings, published online in the journal Ophthalmology in July 2013, include: "We considered the single-procedure macular hole closure rate, the mean postoperative best corrected visual acuity, the incidence of cataract and intraocular pressure to compare this surgical treatment with methods that use longer acting gas endotamponade, face-down positioning or both," says Dr. A posterior vitreous detachment was present in 20 eyes before surgery.At the time of surgery, 24 eyes were pseudophakic and 44 eyes were phakic.21 eyes had stage 2, 27 had stage 3, and 20 had stage 4 macular holes.3 patients had bilateral macular holes, and 9 were referred to Mayo for treatment of their recurrent macular holes.Of the 68 eyes studied, 48 were in women and 20 were in men. ![]() ![]() Broad ILM peeling, 20 percent SF6 gas and no face-down positioning were employed in all of the surgeries. Iezzi's team reviewed all idiopathic macular hole surgeries he performed at Mayo Clinic between March 2009 and December 2012. "Macular hole closure using limited face-down posturing has been reported previously with varying rates of success."ĭr. "This may place a significant burden on patients and even eliminates the surgical opportunity for some," says Raymond Iezzi Jr., M.D., with the Department of Ophthalmology at Mayo Clinic in Rochester, Minn. ![]() Currently, most surgeons employ face-down positioning for variable periods following macular hole repair surgery.
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