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KMID : 0360220220630100849
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Journal of the Korean Ophthalmological Society
2022 Volume.63 No. 10 p.849 ~ p.858
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Long-term Outcomes of Vitrectomy with Internal Limiting Membrane Removal to Treat Macular Hole Retinal Detachment
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Jeon Young-Joon
Kim Jong-Woo
Kim Chul-Gu
Yoo Su-Jin
Kim Hyeong-Seok
Kim Joo-Yeon
Kim Jae-Hui
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Abstract
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Purpose: To evaluate the long-term clinical outcomes of vitrectomy with internal limiting membrane (ILM) removal for patients with macular hole retinal detachment (MHRD).
Methods: We retrospectively reviewed the medical records of patients with MHRD who underwent vitrectomy with ILM removal.
The incidence of retinal re-attachment and MH closure at 1 month were calculated. Factors associated with RD recurrence were investigated. Visual acuity before surgery was compared to that at the final visit.
Results: Forty-two eyes were included; the mean follow-up period was 38.5 ± 19.1 months. Twenty-three eyes received gas injections and 19 silicone oil injections. Retinal re-attachment occurred in 41 (97.6%). Type 1 closure was noted in 21 eyes (51.2%) and type 2 in 20 (48.8%). Recurrent RD was noted in five eyes (14.6%) within 3 months of initial surgery. Type 2 closure was a risk factor for recurrence (p = 0.021). The logarithm of the minimum angle of resolution best-corrected visual acuity improved significantly from 1.79 ± 0.79 before surgery to 1.30 ± 0.75 after surgery (p < 0.001).
Conclusions: Retinal re-attachment was noted in most patients and the MH closed in approximately half of all patients after vitrectomy with ILM removal to treat MHRD. RD did not recur later than 3 months after initial surgery. Further efforts to increase the rate of type 1 closure are required.
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KEYWORD
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Macular hole, Retinal detachment, Vitrectomy
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