Abstract

Study design- A retrospective interventional case series.
Purpose- To evaluate anatomical and functional outcome of secondary full thickness macular hole (FTMH) following vitreoretinal (VR) surgery.
Methods- Eyes developing FTMH after successful VR surgery were included. Tractional retinal detachments, traumatic rhegmatogenous retinal detachment (RRD), multiple VR surgeries were excluded. Eyes underwent internal limiting membrane (ILMP) peeling/ ILM free flap transplantation (ILMFT) or autologous retinal transplantation (ART). Success was defined as closed MH without foveal defect of the neurosensory retina.
Results- 15 eyes were included. Median time of presentation was 12 months. Indications for primary surgery included RRD, proliferative diabetic retinopathy with vitreous haemorrhage (VH) and subluxated lens.Overall, 80% eyes had success with improved median best corrected visual acuity (p = 0.007).
Conclusion – Median hole diameter (MHD ) can predict surgical success.