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Abstract
PurposeThe aim of the study was to evaluate the anatomical and functional success of idiopathic macular hole surgery using optical coherence tomography (OCT) and multifocal electroretinography (mfERG).DesignThe study was designed as a prospective interventional case series.Patients and methodsFourteen eyes with idiopathic full-thickness macular hole were treated with pars plana vitrectomy and internal limiting membrane peeling. OCT and mfERG were performed in all patients preoperatively and during a follow-up period of 6 months to elicit anatomical and functional changes of the macula.ResultsOCT images revealed closure of macular holes in all patients after 3 months of follow-up, whereas mfERG showed improvement of retinal responses. These changes were associated with a significant improvement in visual acuity (P = 0.0001).ConclusionPars plana vitrectomy with internal limiting membrane peeling successfully restored the normal architecture of the fovea, with improvement in retinal function.
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