Stage III macular hole surgery

Juan Orellana, Ronni M. Lieberman

Research output: Contribution to journalArticlepeer-review

55 Scopus citations


Twelve macular holes in 12 patients underwent a pars plana vitrectomy and epiretinal membrane resection with intravitreal gas tamponade for repair of their macular holes. The patients had stage Ill macular holes and had previously undergone a normal funduscopic examination within 2 years. The patients have been followed for a mean of 14 months (range 12-18 months) postoperatively. The results show that visual acuity improvements were not seen until at least 6 months after surgery if the hole was closed successfully. Seven holes were closed (58.3%) and all improved their best corrected visual acuity by more than two Snellen lines. In the five eyes that did not demonstrate hole closure (41-6%), one eye improved by two lines as well. The other four eyes remained at their preoperative acuity. One eye developed a dialysis which responded to a fluid air exchange and cryopexy (8.3%). Three eyes developed minimal lenticular opacities during the follow up period (25%). One eye demonstrated an altered perifoveal pigment epithelium perhaps related to intraoperative light toxicity. Macular hole surgery can restore some central acuity even in patients with longstanding holes.

Original languageEnglish
Pages (from-to)555-558
Number of pages4
JournalBritish Journal of Ophthalmology
Issue number9
StatePublished - 1993


Dive into the research topics of 'Stage III macular hole surgery'. Together they form a unique fingerprint.

Cite this