Traumatic macular hole - Observations, pathogenesis, and results of vitrectomy surgery

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. Ophthalmology 2001;108:853-857 (C) 2001 by the American Academy of Ophthalmology.