J Korean Ophthalmol Soc.  2000 Nov;41(11):2369-2374.

Natural Course and Effect of Preventive Vitrectomy in Stage 1 Macular Holes

• Choi HJ
• Yun YS
• Kwon OW

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.

Keyword

Macular hole; Natural course; Prophylactic vitrectomy; Stage 1

MeSH Terms

Follow-Up Studies
Humans
Medical Records
Prognosis
Retinal Perforations*
Sclerosis
Vitrectomy*