Macular Hole Reopening

Shinjo Ophthalmologic Institute

Status: Completed

Conditions: Vitrectomy

Treatments: Procedure: Vitrectomy

Study type: Observational

Funder types: Other

Identifiers

NCT00927628

ShinjoOI

Details and patient eligibility

About

The purpose of this investigation was to determine the incidence and the factors that cause a reopening of a macular hole (MH) after a surgical closure.

Full description

A reopening of a macular hole (MH) is a well-known complication of successfully closed MHs. Recently, internal limiting membrane (ILM) peeling has become widely used as an adjunctive procedure during MH surgery. The incidence of a reopening of a MH is 0 to 8.6% in eyes in which the ILM was peeled off, and 2 to 16% in which the ILM was not peeled off. Part of the variation in the percentages of reopening was the length of the follow-up period; eyes with longer follow-up periods have higher incidences of reopening.

Enrollment: 831 patients

Sex: All

Ages: 40 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who underwent vitrectomy with or without internal limiting membrane (ILM) peeling for an idiopathic full-thickness macular hole

Exclusion criteria

• eyes with previous vitreous surgery, cystoid macular edema from any cause, and traumatically-induced MH were excluded.

Trial design

831 participants in 1 patient group

Vitrectomy

Description:

Patients underwent vitrectomy with or without internal limiting membrane (ILM) peeling for an idiopathic full-thickness macular hole. Simultaneous phacoemulsification with intraocular lens implantation was performed on all phakic patients who were \>40-years-of-age.

Treatment:

Procedure: Vitrectomy