Analysis of surgical treatment results of macular holes in the Samara region

Aim. Analysis of anatomical and functional results of surgical treatment of full-thickness macular holes.

Methods. We conducted a retrospective analysis of medical records of 194 outpatients (194 eyes) on whom surgical treatment of macular hole was performed in Samara Clinical Ophthalmic Hospital n.a. T.I. Eroshevskiy during 2015-2016.

Results. On day 5 after surgery in 96 (97.9%) patients with a hole of more than 400 µm operated according to inverted flap technique, and in 93 (96.9%) patients with hole of less than 400 µm, on whom removal of the internal limiting membrane around the hole was performed, we observed macular hole closure. The best corrected visual acuity of patients with the hole of more than 400 µm increased to 0.18±0.13 (p <0.05), with the hole of less than 400 µm increased to 0.19±0.12 (p <0.05). 1 month after the surgery the best corrected visual acuity increased to 0.26±0.14 (p <0.05) and 0.49±0.15 (p <0.05), respectively. 6 months after the surgery, the average best corrected visual acuity increased to 0.31±0.12 (p <0.05) and 0.62±0.13 (p <0.05), respectively.

Conclusion. Surgical treatment of full-thickness macular holes of less than 400 µm led to the closure of the hole in 96.9% of cases, and macular holes of more than 400 µm - in 97.9% of cases; statistically significant increase of the best corrected visual acuity in any size of the hole was revealed already on day 5 after the surgery with positive dynamics during the following period of observation.