ANATOMICAL AND VISUAL OUTCOMES OF MACULAR HOLE SURGERY WITH SHORT-DURATION 3-DAY FACE-DOWN POSITIONING

作者：Almeida David R P^*; Wong Jonathon; Belliveau Michel; Rayat Jaspreet; Gale Jeffrey

来源：Retina-The Journal of Retinal and Vitreous Diseases, 2012, 32(3): 506-510.

DOI：10.1097/IAE.0b013e3182219abd

• macular hole surgery
• 3 days prone posturing
• gas tamponade

Purpose: The role of face-down posturing after macular hole (MH) surgery remains unclear and controversial. We evaluated the anatomical and visual outcomes of MH repair using a short duration (3 days) of prone positioning. %26lt;br%26gt;Methods: Prospective series of 50 consecutive eyes in 50 patients with Stage 2 or Stage 3 idiopathic MHs. All eyes underwent vitrectomy MH surgery with internal limiting membrane peeling and 20% sulfur hexafluoride (SF6) gas tamponade. The procedure was combined with phacoemulsification cataract surgery in phakic eyes. Surgical outcomes, MH closure rates, complications, and postoperative visual acuity were investigated. %26lt;br%26gt;Results: Anatomical closure of MHs was achieved in 49 (98%) of 50 eyes by 1 surgery. Postoperative logarithm of the minimum angle of resolution visual acuity decreased (i.e., improved) by 0.271 (95% confidence interval, 0.101-0.441 [P = 0.0024]). One complication of intraocular lens pupillary capture and one case of chronic cystoid macular edema were observed. There were no complications attributed to intraocular pressure fluctuations. %26lt;br%26gt;Conclusion: Vitrectomy with internal limiting membrane peeling and gas tamponade with SF6 followed by short-duration 3-day face-down positioning is a successful surgical intervention for Stage 2 and Stage 3 idiopathic MHs. This method possessed minimal complications and offered significant improvement in visual acuity. RETINA 32: 506-510, 2012

• 出版日期2012-3