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This abstract is assigned to session FAB: Fluorescein Angiography Club Belgium
Presentation typeOB - oral
TitleIdiopathic macular hole surgery: what are the results now?
PurposeTo evaluate the visual results and complications of idiopathic macular hole (IMH) surgery in a consecutive series of eyes operated on by one single surgeon with one single technique in one single facility.
MethodsThis retrospective study is dealing with 57 eyes treated for IMH and with a 6-month follow-up visit. During the study period, 65 eyes were operated on, among which 8 were lost for follow-up. The main study parameters are preoperative and 6-month distance and near best-corrected visual acuities (BCVA), and the incidence, nature and consequences of per- and postoperative complications.
ResultsMean distance BCVA improves from 0.26 preoperatively to 0.48 at 6 months. At 6 months, distance BCVA improves in 44 eyes and doesn’t change in 8 eyes. Cataract increase only is responsible for worsening of distance BCVA in 5 eyes. Mean near BCVA improves from 0.22 to 0.59. Near BCVA is not available at 6 months for 3 eyes, improves in 50 eyes and doesn’t change in 2 eyes. Dense cataract is responsible for worsening in 2 eyes. A retinal tear or small retinal detachment is observed ant treated during surgery in 12 eyes. None develops such a complication postoperatively. Except for cataract, none of the complications observed in this study interferes with IMH surgery functional results at 6 months.
ConclusionNowadays, IMH surgery is a safe and efficient treatment with satisfactory functional results in a vast majority of cases.
Author 1
DepartmentUniversité Catholique de Louvain. U.C.L.
Author 2
Last nameGribomont
DepartmentUniversité Catholique de Louvain. U.C.L.
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