urgical Outcome for Patient who Develop Macular Hole After Par Plana Vitrectomy Original Reearch Article

Purpoe To characterize outcome for patient who develop full-thickne macular hole after par plana vitrectomy. Method We retropectively analyzed data for 47 conecutive patient (47 eye) who developed full-thickne macular hole after initial par plana vitrectomy for a variety of indication. All patient underwent a econd vitrectomy and ga tamponade with or without internal limiting membrane peeling. Reult Indication for initial vitrectomy included idiopathic epiretinal membrane (11 eye), epiretinal membrane with a peudohole (nine eye), macular edema reulting from variou condition (nine eye), proliferative diabetic retinopathy (nine eye), rhegmatogenou retinal detachment (five eye), and micellaneou caue (four eye). Mean interval from initial vitrectomy to macular hole formation wa 20.4 month. Mean viual acuity (VA) in the affected eye wa 0.13 (20/155, nellen equivalent). The hole wa cloed in 32 eye (68%) after a ingle procedure. With a mean follow-up of 53 month, mean final VA improved to 0.26 (20/77); 26 (55%) eye improved, 18 (38%) were table, and three (6%) worened. No evere complication occurred except one macular hole that reopened after ucceful cloure. Concluion Macular hole may develop after par plana vitrectomy. Although additional vitrectomy can uccefully cloe the hole and improve viion in mot patient, poturgical outcome eem to depend on the underlying condition.