We have located links that may give you full text access.
Surgery for bilateral macular holes.
Eye 2009 March
OBJECTIVE: To report on bilateral sequential macular hole repair.
DESIGN: Retrospective case series report.
PARTICIPANTS: Sixteen eyes of eight patients with reduced visual acuity (VA) and metamorphopsia due to bilateral macular hole.
INTERVENTION: Patients underwent vitrectomy surgery for bilateral macular hole. Seven patients had both eyes operated on consecutively at the same operating session. One patient had surgery to the fellow eye the next day. Strict facedown posturing was undertaken for 1 week by all patients.
MAIN OUTCOME MEASURES: Closure of macular hole; final VA; complications.
RESULTS: In 15 (94%) eyes the macular holes closed with resolution of symptoms; the mean VA at discharge was 6/15; two patients had reduced VA due to age-related macular degeneration (6/36, 6/18); five eyes had entry site tears; there was one case of lens touch with elevated intraocular pressure (IOP); in one (6%) patient the macular hole reopened after later cataract surgery (VA 6/24).
CONCLUSIONS: Surgical closure of bilateral macular holes at the same operating session has distinct advantages but also considerable disadvantages. Case selection is paramount-patients require careful preoperative counselling and postoperative support, especially during the posturing week.
DESIGN: Retrospective case series report.
PARTICIPANTS: Sixteen eyes of eight patients with reduced visual acuity (VA) and metamorphopsia due to bilateral macular hole.
INTERVENTION: Patients underwent vitrectomy surgery for bilateral macular hole. Seven patients had both eyes operated on consecutively at the same operating session. One patient had surgery to the fellow eye the next day. Strict facedown posturing was undertaken for 1 week by all patients.
MAIN OUTCOME MEASURES: Closure of macular hole; final VA; complications.
RESULTS: In 15 (94%) eyes the macular holes closed with resolution of symptoms; the mean VA at discharge was 6/15; two patients had reduced VA due to age-related macular degeneration (6/36, 6/18); five eyes had entry site tears; there was one case of lens touch with elevated intraocular pressure (IOP); in one (6%) patient the macular hole reopened after later cataract surgery (VA 6/24).
CONCLUSIONS: Surgical closure of bilateral macular holes at the same operating session has distinct advantages but also considerable disadvantages. Case selection is paramount-patients require careful preoperative counselling and postoperative support, especially during the posturing week.
Full text links
Trending Papers
A Personalized Approach to the Management of Congestion in Acute Heart Failure.Heart International 2023
Potential Mechanisms of the Protective Effects of the Cardiometabolic Drugs Type-2 Sodium-Glucose Transporter Inhibitors and Glucagon-like Peptide-1 Receptor Agonists in Heart Failure.International Journal of Molecular Sciences 2024 Februrary 21
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app