Article

Pars Plana Vitrectomy With Gas Tamponade for Lamellar Macular Holes

Department of Ophthalmology, Kagoshima City Hospital, 20-17 Kajiya-cho, Kagoshima 892-8580, Japan.
American Journal of Ophthalmology (Impact Factor: 4.02). 01/2006; 140(6):1154-1155. DOI: 10.1016/j.ajo.2005.07.022
Source: PubMed

ABSTRACT To report anatomic and visual improvement after pars plana vitrectomy with gas tamponade for a lamellar macular hole with poor central visual acuity.
Two interventional case reports.
Two patients with a lamellar macular hole underwent vitrectomy, internal limiting membrane peeling, and long-acting gas injection. Main outcome measures included best-corrected visual acuity, biomicroscopic appearance, and optical coherence tomography findings.
Vitrectomy with gas tamponade resulted in biomicroscopic, functional, and tomographic improvement in both patients for follow-up periods of 12 months.
Vitrectomy with gas tamponade may be an effective method for a lamellar macular hole with poor visual acuity.

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    • "Theodossiadis et al. studied 41 patients with LMH and reported a mean decline of 6.4% in visual acuity (VA) after 37.1 months of observation (Theodossiadis et al. 2009). Only a limited number of reports on vitrectomy results in LMH patients have been published and most studies reported favourable outcomes (Hirakawa et al. 2005; Witkin et al. 2006, 2010; Kokame & Tokuhara 2007; Garretson et al. 2008; Androudi et al. 2009; Michalewska et al. 2010; Casparis & Bovey 2011; Figueroa et al. 2011). However, whether it is worthwhile to attempt a surgical treatment for LMH remains a controversial issue. "
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