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Cataract surgery not a risk factor for reopening of idiopathic macular hole
Am J Ophthalmol. 2010;149(1):120-126.
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The requirement for cataract extraction, regardless of its timing, does not appear to affect whether a macular hole reopens after successful initial closure surgery, according to a study.
In a retrospective study of 135 eyes of 130 patients who underwent surgery to treat stage 2, 3 or 4 idiopathic macular hole, there were no reopenings after initial anatomic success at a mean follow-up of 37 months. According to the authors, the study was designed to assess the role of cataract extraction in reopening of initially closed idiopathic macular hole.
All patients in the study underwent the same surgical protocol with respect to macular hole closure; however, need for and timing of cataract surgery differed. Of the patients, 22 were pseudophakic at time of hole closure, 49 were operated simultaneously for cataract and macular hole, 53 had cataract surgery at a time after hole closure, and 11 remained phakic at the end of the study.