Vitrectomy combined with internal limiting membrane peeling and air tamponade for the treatment of idiopathic macular hole

Abstract

Objective To evaluate the clinical efficacy of vitrectomy combined with internal limiting membrane peeling and air tamponade for the treatment of idiopathic macular hole. Methods The data of 38 eyes of 38 patients with idiopathic macular hole from Dec. 2016 to Jan. 2018 were analyzed retrospectively, and all cases underwent vitrectomy, internal limiting membrane peeling combined with air tamponade. Follow up time was 3 months after operation, and the BCVA and macular hole closure were observed. Results At the end of follow-up, the macular hole were complete closed in 28 cases, were exposed in 5 cases, the closure rate was 86.84%(33/38). The minimum diameter of macular hole in 5 unclosed eyes at 3 months after operation was significantly smaller than that before operation(t=3.680, P=0.010). The difference of BCVA was statistically significant between before and after operation (t=2.076, P=0.041). Conclusion Vitrectomy combined with internal limiting membrane peeling and air tamponade for the treatment of idiopathic macular hole is effective. Key words: Hole, macular, idiopathic; Peeling, internal limiting membrane; Vitrectomy; Tamponade, air