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Vitrectomy for a symptomatic lamellar macular hole.

Ophthalmology 2008 May
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.

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