Vitrectomy for a Symptomatic Lamellar Macular Hole
Received 21 February 2007; received in revised form 19 June 2007; accepted 19 June 2007. published online 06 December 2007.
Purpose
To investigate the surgical findings and outcomes after vitrectomy for a lamellar macular hole (LMH).
Design
Retrospective, consecutive, interventional case series.
Participants
Twenty-seven patients (27 eyes) with a lamellar macular hole and central vision loss.
Intervention
All patients underwent 3-port vitrectomy with internal limiting membrane (ILM) stripping by one of the authors. Best-corrected visual acuity (BCVA) and appearance by optical coherence tomography (OCT) were obtained preoperatively and postoperatively.
Main Outcome Measures
Preoperative and postoperative BCVA and OCT imaging.
Results
Visual acuity improved postoperatively in 25 of 27 eyes (93%), with a mean improvement of 3.2 Snellen lines. Preoperative and postoperative OCT images were obtained in 24 of 27 eyes (89%) and were judged to have improved or normalized in 22 of 24 (92%) of these patients.
Conclusion
In patients with central visual loss from a lamellar macular hole, vitrectomy with ILM stripping appears to be a beneficial treatment.
Available online: December 11, 2007.
1Associated Retinal Consultants, Royal Oak, Michigan
3Rush Presbyterian St. Lukes Medical Center, Chicago, Illinois.
Correspondence to Bruce R. Garretson, MD, Associated Retinal Consultants, William Beaumont Hospital, 3535 West 13 Mile Road, Suite 344, Royal Oak, MI 48073.
Manuscript no. 2007-254.
The authors have no financial interest to disclose.
ABSTRACT