Outcomes of Pars Plana Vitrectomy for Patients with Vitreomacular Traction

Marco A. Gonzalez, Harry W Flynn, Christine M. Bokman, William J Feuer, William E Smiddy

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Background and Objective: To evaluate clinical and optical coherence tomography (OCT) outcomes of pars plana vitrectomy (PPV) for patients with vitreomacular traction (VMT). Patients and Methods: Noncomparative, interventional, consecutive case series from 2007 to 2014. Results: Of the 37 study eyes, patients were grouped according to the extent of VMT evident on OCT. Group 1 (18 eyes) had intraretinal cysts on OCT. Group 2 (19 eyes) had both intraretinal cysts and subretinal fluid. Visual acuity (VA) improved at least one line or more in 76% of eyes postoperatively. Postoperative VA was not significantly different across the two groups (P >.36). Postoperatively, a macular hole developed in 4 eyes (10%). After reoperation, three of four eyes achieved macular hole closure. Conclusions: Patients with VMT achieve visual and OCT improvements after PPV. Postoperative macular hole formation is uncommon but can be successfully repaired with further surgery.

Original languageEnglish (US)
Pages (from-to)708-714
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume46
Issue number7
DOIs
StatePublished - Jul 1 2015

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

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