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¹İstanbul Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., İstanbul, Prof.Dr.
²Fulya Retina Göz Merkezi, İstanbul, Uzm.Dr.
³İstanbul Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., İstanbul, Uzm.Dr. Purpose: To evaluate the surgical results of patients with traumatic macular holes who had undergone pars plana vitrectomy and internal limiting membrane peeling.
Material and Methods: Fourteen patients with the diagnosis of traumatic macular hole who had undergone pars plana vitrectomy and internal limiting membrane peeling between August 1998-April 2006 were analyzed retrospectively. Bearing in mind of probability of spontaneous closure of traumatic macular holes, we waited at least 4 weeks before surgery. The information about trauma reason, time between trauma and the surgery, diameter of the macular hole, surgical details, preoperatively and postoperatively best corrected visual acuity (BCVA) and intraocular pressure measurements were noted.
Results: Average age of the patients was 40.4±14.4 years (20-69 years). Average macular hole diameter of 14 eyes with traumatic macular holes was found to be 425 mm (200 mm-700 mm). As endotamponade in 13 eyes 16% perfluoropropan (C3F8), and in one eye silicone oil was used. In 13 eyes (93%) macular hole was closed after first surgery. Preoperative average BCVA was 0.21±0.19 with Snellen chart and postoperative final BCVA was 0.56±0.42. This increment in visual acuity was found to be significant statistically. (p=0.04) (non-parametric Wilcoxon test) At least three Snellen line visual acuity increment was detected in 12 patients (85.7%) and 0,5 or more visual acuity was seen in 11 patients (78%) after surgery.
Conclusion: For traumatic macular holes cases without any tendency to spontaneous closure and with ongoing visual loss vitreoretinal surgery has good anatomical and visual results. Keywords : Macular hole, trauma, vitrectomy