Air tamponade combined with nonsupine positioning in macular hole surgery for pseudophakic eyes

Purpose: To investigate the closure rate of primary full-thickness macular hole, following intraocular air tamponade combined with a nonsupine positioning regimen.
Methods: A prospective study of patients with full-thickness macular hole, who underwent pars plana vitrectomy with internal limiting membrane peeling and intraocular air tamponade followed by 3 days of nonsupine positioning. Outcome measures were primary full-thickness macular hole closure and improvement in best-corrected visual acuity after 6 months.
Results: A total of 34 eyes were included. In the group of full-thickness macular hole ≤400 μm, primary closure occurred in 95% (19/20), whereas only 57% (8/14) of those>400 μm closed (P = 0.01). The mean gain in best-corrected visual acuity was 3.5 ETDRS (Early Treatment Diabetic Retinopathy Study) lines (SD = 1.5) (P 400 μm).

Source: RETINA - August 24, 2017 Category: Opthalmology Tags: Original Study Source Type: research