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Good outcomes found with macular hole surgery in limited, non-supine position
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Most patients treated with modern macular hole repair performed in the limited, non-supine position achieved good anatomical and visual outcomes after a single surgery, researchers in Canada found.
Andrew B. Merkur, MD, of the University of Ottawa Eye Institute, and colleague Raman Tuli, MD, reviewed outcomes for 72 eyes with idiopathic macular holes. This included 60 patients with a grade 3 hole, six patients with a grade 2 hole and six patients with a grade 4 hole.
Dr. Tuli performed all surgeries with patients in the limited, non-supine position, eliminating the need for facedown positioning, according to the study.
Best corrected visual acuity averaged 20/170 preoperatively and increased to 20/46 after surgery. Overall, 92% of patients achieved anatomical success after a single surgery. Six patients required a second surgery and achieved a mean BCVA of 20/55, according to the study authors.
In addition to good anatomical and visual results, benefits of the procedure include increased patient acceptance and compliance as well as greater patient eligibility, the authors noted.
The study is published in the March issue of Retina.