J Korean Ophthalmol Soc.
2000 Nov;41(11):2369-2374.
Natural Course and Effect of Preventive Vitrectomy in Stage 1 Macular Holes
- Affiliations
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- 1Department of Ophthalmology, CHA General Hospital, College of Medicine, Pochon CHA University, Sungnam, Kyonggi-do, Korea.
- 2Department of Ophthalmology, College of Medicine, Yonsei University #134 Shinchon-dong, Seodaemun-ku, Seoul, 120-752, Korea.
Abstract
- We reviewed the medical records of the 65 patients with stage 1 macular holes and evaluated the effect of prophylactic vitrectomy (34 patients)compared with observation only (31 patients).Mean follow up period was 38.2 and 27.7 months, respectively.88.3%of the patients of the vitrectomy group, and 87.1%of the patients of the observation group showed improved or same visual acuity.Postoperative complications were noted in 35.3%of the vitrectomy group, and lens nuclear sclerosis was the most frequent postoperative complication.Progression of stage 1 macular holes to the higher stage hole was noted in 5.9%of vitrectomy group, and 9.6%of the observation group.There was no statistical significance between two groups.And the prognosis of stage 1 macular hole is thought to be favorable.