Surgical repair of full-thickness idiopathic macular holes associated with significant macular drusen: Influence Statistics

Expert Impact

Concepts for which they have has direct influence: Macular hole , Visual acuity , Surgical repair , Macular holes , Hole closure , Plana vitrectomy , Outcome measures .

Key People For Macular Hole

Top KOLs in the world
#1
William E Smiddy
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#2
Alain Gaudric
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#3
Robert T Wendel
pneumatic retinopexy macular hole cilioretinal artery
#4
J Donald M Gass
visual acuity macular holes fluorescein angiography
#5
Neil E Kelly
pneumatic retinopexy macular holes vitreous surgery
#6
Pascale Massin
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Surgical repair of full-thickness idiopathic macular holes associated with significant macular drusen

Abstract

. OBJECTIVE: To evaluate the visual and anatomic results of surgically repaired macular holes in eyes with intermediate or large-sized macular drusen. DESIGN: Retrospective noncomparative case series. PARTICIPANTS: Thirty-four eyes of 32 patients undergoing macular hole surgery with preoperative intermediate or large-sized macular drusen as defined by the Age-Related Eye Disease Study (AREDS). INTERVENTION: Pars plana vitrectomy for standard macular hole repair performed by multiple surgeons. MAIN OUTCOME MEASURES: Visual acuity, anatomic hole closure. RESULTS: Initial hole closure failed in 8 eyes (24%) overall, 5 of 28 eyes (18%) with AREDS category 2 drusen and 3 of 6 eyes (50%) with category 3 drusen (P = 0.1263). Final macular hole closure was seen in 93% of category 2 and 67% of category 3 eyes (P = 0.1347). Mean final visual acuity was 20/60 overall, 20/60 for category 2, and 20/50 for category 3 eyes. CONCLUSIONS: A trend of reduced initial macular hole closure was seen in eyes with significant macular drusen. Reoperation improved closure rates. If closure was accomplished, visual outcomes were excellent.