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Vitrectomy with platelet concentrate effective for macular hole in children

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Pars plana vitrectomy with platelet concentrate and SF6 gas instillation was safe and effective for the treatment of traumatic macular holes in pediatric patients in a long-term study.

Joachim Wachtlin, MD, and colleagues at the University Clinic Benjamin Franklin in Berlin studied four patients with a mean age of 13 years who underwent pars plana vitrectomy with platelet concentrate, internal limiting membrane peeling and SF6 gas tamponade for stage 3 traumatic macular hole repair. Follow-up ranged form 27 to 51 months.

All patients had a marked visual improvement of three to seven lines postoperatively. The surgically achieved acuity improvement remained stable, and no complications were experienced during the follow-up period.

The study was published in the July issue of American Journal of Ophthalmology.