Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning

Purpose. To evaluate the outcome of combined vitrectomy with phacoemulsification without postoperative face-down positioning for idiopathic macular holes (MHs). Design. Retrospective, observational case series. Participants. Forty-two eyes of 42 patients with MH. Methods. We studied 42 eyes of 42 ca...

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Main Authors: Fumihiko Yagi, Seiji Takagi, Goji Tomita
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2012/571748
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author Fumihiko Yagi
Seiji Takagi
Goji Tomita
author_facet Fumihiko Yagi
Seiji Takagi
Goji Tomita
author_sort Fumihiko Yagi
collection DOAJ
description Purpose. To evaluate the outcome of combined vitrectomy with phacoemulsification without postoperative face-down positioning for idiopathic macular holes (MHs). Design. Retrospective, observational case series. Participants. Forty-two eyes of 42 patients with MH. Methods. We studied 42 eyes of 42 cases followed up for 6 months postoperatively. MH closure rate and preoperative and postoperative visual acuity (VA) were evaluated. Main Outcome Measures. MH closure rate and VA were evaluated after combined vitrectomy with phacoemulsification without postoperative face-down positioning. Results. Of the 42 holes, 40 (95.2%) were initially closed, and the final closure rate was 100%. Compared with preoperative VA, the mean VA was significantly improved at 1 month and the improvement was maintained for at least 6 months postoperatively. Conclusions. Combined vitrectomy with phacoemulsification without postoperative face-down positioning produced favorable anatomic and functional results for MH repair. Improvement in VA can be expected for up to at least 6 months postoperatively.
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spelling doaj-art-ad4a5424ce8e4a60a0c9b273117b89882025-02-03T06:04:55ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/571748571748Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down PositioningFumihiko Yagi0Seiji Takagi1Goji Tomita2Department of Ophthalmology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro, Tokyo 153-8515, JapanDepartment of Ophthalmology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro, Tokyo 153-8515, JapanDepartment of Ophthalmology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro, Tokyo 153-8515, JapanPurpose. To evaluate the outcome of combined vitrectomy with phacoemulsification without postoperative face-down positioning for idiopathic macular holes (MHs). Design. Retrospective, observational case series. Participants. Forty-two eyes of 42 patients with MH. Methods. We studied 42 eyes of 42 cases followed up for 6 months postoperatively. MH closure rate and preoperative and postoperative visual acuity (VA) were evaluated. Main Outcome Measures. MH closure rate and VA were evaluated after combined vitrectomy with phacoemulsification without postoperative face-down positioning. Results. Of the 42 holes, 40 (95.2%) were initially closed, and the final closure rate was 100%. Compared with preoperative VA, the mean VA was significantly improved at 1 month and the improvement was maintained for at least 6 months postoperatively. Conclusions. Combined vitrectomy with phacoemulsification without postoperative face-down positioning produced favorable anatomic and functional results for MH repair. Improvement in VA can be expected for up to at least 6 months postoperatively.http://dx.doi.org/10.1155/2012/571748
spellingShingle Fumihiko Yagi
Seiji Takagi
Goji Tomita
Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning
Journal of Ophthalmology
title Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning
title_full Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning
title_fullStr Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning
title_full_unstemmed Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning
title_short Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsification without Face-Down Positioning
title_sort combined idiopathic macular hole vitrectomy with phacoemulsification without face down positioning
url http://dx.doi.org/10.1155/2012/571748
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