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Multicenter Study
. 2001 May;108(5):853-7.
doi: 10.1016/s0161-6420(00)00650-3.

Traumatic macular hole: observations, pathogenesis, and results of vitrectomy surgery

R N Johnson  1 , H R McDonald, H Lewis, M G Grand, T G Murray, W F Mieler, M W Johnson, H C Boldt, K R Olsen, P E Tornambe, J C Folk
Affiliations
Multicenter Study

Traumatic macular hole: observations, pathogenesis, and results of vitrectomy surgery

R N Johnson et al. Ophthalmology. 2001 May.

Abstract

Purpose: To review our experience with vitrectomy surgery techniques for the treatment of traumatic macular holes and the biomicroscopic and surgical findings.

Design: Retrospective noncomparative, multicenter, case series.

Participants and intervention: Twenty-five patients with traumatic macular hole underwent surgical repair.

Intervention: Vitrectomy with membrane peeling and gas injection followed by prone positioning for 7 to 14 days.

Main outcome measures: Postoperative evaluation included visual acuity testing, closure of the macular hole, and ocular complications.

Results: The macular hole was successfully closed in 24 of 25 cases (96%). The visual acuity improved two or more lines in 21 (84%) cases, and 16 (64%) achieved 20/50 or better vision.

Conclusions: Vitrectomy surgery can successfully close macular holes associated with trauma and improve vision.

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