Reopening of macular holes after initially successful repair

Nancy J. Christmas, William E Smiddy, Harry W Flynn

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Objective: To evaluate the frequency and prognosis of reopening of a macular hole after initially successful repair in a defined patient cohort. Design: Retrospective consecutive noncomparative case series. Participants: Seventeen cases of reopened macular holes among 390 cases of idiopathic macular holes that previously had undergone macular hole surgery were studied. Main Outcome Measures: Assessment of demographics, visual acuity, preoperatively, postoperatively, after reopening of macular hole and after reoperation, if applicable, and precipitating factors. Results: There were 17 (4.8%) of 353 cases in which the macular hole reopened after initial successful surgical closure. Be mean visual acuity before reopening was 20/48 and was 20/133 after reopening. Twelve eyes underwent reoperation with improvement to a mean visual acuity of 20/54. The five eyes that were not reoperated on maintained a mean visual acuity of 20/200. Ten of the eyes had undergone cataract surgery between macular hole surgeries, but in only one did the reopening appear to occur in association with this procedure. Conclusions: Reopening of a previously successfully operated macular hole is uncommon and seems to be a spontaneous event. Reoperation generally yields results similar to those present before the reopening. Reopening of a macular hole associated with cataract surgery is rare.

Original languageEnglish
Pages (from-to)1835-1838
Number of pages4
JournalOphthalmology
Volume105
Issue number10
DOIs
StatePublished - Oct 1 1998

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Retinal Perforations
Visual Acuity
Reoperation
Cataract
Outcome Assessment (Health Care)
Precipitating Factors
Demography

ASJC Scopus subject areas

  • Ophthalmology

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Reopening of macular holes after initially successful repair. / Christmas, Nancy J.; Smiddy, William E; Flynn, Harry W.

In: Ophthalmology, Vol. 105, No. 10, 01.10.1998, p. 1835-1838.

Research output: Contribution to journalArticle

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