• 1. Xiamen Eye Center affiliated with Xiamen University,2.;
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Objective To evaluate the anatomic and visual outcomes of idiopathic macular holes treated with triamcinolone (TA)assisted posterior vitreous detachment (PVD) and then internal limiting membrane (ILM) peeling without any dye. Methods Twenty-three patients (23 eyes) with stage Ⅱ and Ⅲ idiopathic macular holes were enrolled. The best-corrected visual acuity (BCVA), the lens, the duration, stage and size of the macular holes were measured before and after the surgery. The preoperative BCVA was 0.04 to 0.40; the logMAR was 0.398 to 1.398 with the mean of 0.846 plusmn;0.310. All surgery involved TAassisted PVD and then ILM peeling without any dye. Combined cataract extraction with vitrectomy was performed on 5 eyes. The follow-up ranged from 6 to 16 months with the mean of 9 months. Results Anatomic macular hole closure was achieved in 22 eyes (95.7%) at the first month after surgery and in 23 eyes (100。0%) finally. At the 6th months after surgery, the BCVA was 0.12 to 0.90, logMAR was 0.046 to 0.921 with the mean of 0.410 plusmn;0.209, compared with preoperative BCVA, the difference was statistically significant (t=6.636, P<0.0001). BCVA increased in 21 eyes (91.3%) and kept unchanged in 2 eyes (8.7%). There are 1 -3 spots self-limited bleeding on the retinal surface when the ILM was peeled in 5 eyes. Postoperative complications included progression of cataract in 9 patients and transient intraocular pressure elevation in 6 patients. Conclusions TA-assisted PVD and then ILM peeling without any dye is an effective and safe surgical technique in stage Ⅱ and Ⅲ idiopathic macular hole.

Citation: 刘志雄,吴国基,康克明,林春堤,王晓波. Stage Ⅱ and Ⅲ idiopathic macular holes treated by triamcinolone-assisted posterior vitreous detachment and internal limiting membrane peeling without any dye. Chinese Journal of Ocular Fundus Diseases, 2011, 27(4): 346-349. doi: Copy