Japanese Journal of Ophthalmology

, Volume 53, Issue 3, pp 215–218

Idiopathic macular hole vitrectomy without postoperative face-down positioning

  • Fumihiko Yagi
  • Yukihiro Sato
  • Seiji Takagi
  • Goji Tomita
Clinical Investigation

DOI: 10.1007/s10384-008-0642-7

Cite this article as:
Yagi, F., Sato, Y., Takagi, S. et al. Jpn J Ophthalmol (2009) 53: 215. doi:10.1007/s10384-008-0642-7

Abstract

Purpose

To evaluate the efficacy of vitrectomy with internal limiting membrane (ILM) peeling and SF6 gas tamponade for macular holes without face-down positioning.

Methods

Twenty-one eyes of 21 consecutive patients undergoing pars plana vitrectomy with indocyanine green-assisted ILM peeling and 20% SF6 gas tamponade without face-down positioning were included in this study. Biomicroscopy and optical coherence tomography were used to assess macular hole closure. Pre- and postoperative visual acuities (VAs) were compared.

Results

Among the 21 eyes, five (23.8%) had stage 2, 11 (52.4%) stage 3, and five (23.8%) stage 4 macular holes. Mean macular hole size was 0.35 disc diameters. The macular holes had been present for an average of 2.3 months. Twenty eyes (95.2%) were phakic, and one (4.8%) was pseudophakic. Nineteen of the 21 holes (90.5%) initially closed. The final closure rate was 100%, and no eyes showed reopening. Preoperative mean VA (logMAR) was 0.65, and mean VA had significantly improved to 0.46 at 1 month and to 0.42 at 3 months after surgery (P < 0.0001, repeated measures analysis of variance).

Conclusion

Vitrectomy with ILM peeling and SF6 gas tamponade for macular holes without face-down positioning achieved favorable anatomical and functional results.

Key Words

face-down positioning idiopathic macular hole internal limiting membrane peeling SF6 gas tamponade vitrectomy 

Copyright information

© Japanese Ophthalmological Society (JOS) 2009

Authors and Affiliations

  • Fumihiko Yagi
    • 1
    • 2
    • 4
  • Yukihiro Sato
    • 1
    • 3
  • Seiji Takagi
    • 1
    • 2
  • Goji Tomita
    • 1
    • 2
  1. 1.Second Department of OphthalmologyToho University School of Medicine, Faculty of MedicineTokyoJapan
  2. 2.Department of OphthalmologyToho University Ohashi Medical CenterTokyoJapan
  3. 3.Department of OphthalmologyToho University Sakura Medical CenterSakuraJapan
  4. 4.Second Department of OphthalmologyToho University School of MedicineTokyoJapan