The Effect of Pre-and Intraoperative Factors Including Marginal Fibrosis On Result of Macular Hole Surgery

ABSTRACT

PURPOSE: To evaluate the pre-operative and the intra-operative factors including marginal fibrosis affecting the result of vitrectomy for macular hole. METHODS: The medical records of the patient who had been operated for idiopathic full-thickness macular hole from January 1997 to July 2000 were investigated retrospectively. RESULTS: Hole closure, as the implication of anatomical success, was seen in 28 eyes (84.8%) at 1 month after surgery and 23 eyes (69.7%) at the end of follow-up period. And the improvement of two or more Snellen line, as the implication of functional success, was seen in 17 eyes (51.5%). The smaller size of the hole was well correlated with higher rate of anatomical success (P=0.001). And there was a good correlation of higher anatomic success rate with the lack of marginal fibrosis around the hole (P=0.001). CONCLUSIONS: There must be more efforts and investigations on proper management of marginal fibrosis, which might help to improve the result of macular hole surgery.