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. 2008 May;115(5):884-886.e1.
doi: 10.1016/j.ophtha.2007.06.029. Epub 2007 Dec 11.

Vitrectomy for a symptomatic lamellar macular hole

Bruce R Garretson  1 , John S Pollack, Alan J Ruby, Kimberly A Drenser, George A Williams, Ramin Sarrafizadeh
Affiliations

Vitrectomy for a symptomatic lamellar macular hole

Bruce R Garretson et al. Ophthalmology. 2008 May.

Abstract

Purpose: To investigate the surgical findings and outcomes after vitrectomy for a lamellar macular hole (LMH).

Design: Retrospective, consecutive, interventional case series.

Participants: Twenty-seven patients (27 eyes) with a lamellar macular hole and central vision loss.

Intervention: All patients underwent 3-port vitrectomy with internal limiting membrane (ILM) stripping by one of the authors. Best-corrected visual acuity (BCVA) and appearance by optical coherence tomography (OCT) were obtained preoperatively and postoperatively.

Main outcome measures: Preoperative and postoperative BCVA and OCT imaging.

Results: Visual acuity improved postoperatively in 25 of 27 eyes (93%), with a mean improvement of 3.2 Snellen lines. Preoperative and postoperative OCT images were obtained in 24 of 27 eyes (89%) and were judged to have improved or normalized in 22 of 24 (92%) of these patients.

Conclusion: In patients with central visual loss from a lamellar macular hole, vitrectomy with ILM stripping appears to be a beneficial treatment.

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