Abstract
Objective To evaluate the therapeutic effect of 25-gauge transconjunctival sutureless vitrectomy with internal limiting membrane(ILM) peeling in treating idiopathic macular hole(IMH). Methods Ten eyes of ten patients with idiopathic macular hole under went 25-gauge TSV combined with internal limiting membrane peeling,air-fluid exchange and C3F8 tamponade.Optical coherence tomography(OCT) and the assessment of best-correted visual acuity (BCVA) were performed. Results IMH were completely closed in all 10 eyes. After a month of postoperation ,two cases had no vision improvement and eight cases got postoperative vision improvement by 1-3 lines. No eye was observed reopening macular hole during the follow up 1-6mo . Conclusion Vitretomy with ILM peeling is an effective treatment for IMH.The treatment of IMH by using 25G-TSV has many advantages ,such as operation time,micro invasing and rapid recovery. It was worthy to be popularized. Key words: vitrectomy; idiopathic macular hole(IMH); internal limiting membrane(ILM)
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