A Multicenter Study of Pediatric Macular Holes: Surgical Outcomes With Microincisional Vitrectomy Surgery

Author:

Kothari Nikisha1,Read Sarah P.1,Baumal Caroline R.2,Capone Antonio34,Chang Emmanuel5,Drenser Kimberly A.34,Ferrone Philip J.6,Nudleman Eric7,Rao Prethy34,Sisk Robert A.89,Smiddy William E.1,Yonekawa Yoshihiro10,Berrocal Audina1

Affiliation:

1. Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA

2. New England Eye Center, Tufts Medical Center, Boston, MA, USA

3. Associated Retinal Consultants of Michigan, Royal Oak, MI, USA

4. William Beaumont School of Medicine, Oakland University, Auburn Hills, MI, USA

5. Retina and Vitreous of Texas, Houston, TX, USA

6. Long Island Vitreoretinal Consultants, North Shore-Long Island Jewish Medical Center, Great Neck, NY, USA

7. Department of Ophthalmology, School of Medicine, Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA

8. Cincinnati Eye Institute, University of Cincinnati, Cincinnati, OH, USA

9. Department of Ophthalmology, Abrahamson Pediatric Eye Institute, Cincinnati Children’s Hospital, Cincinnati, OH, USA

10. Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA

Abstract

Purpose: Pediatric macular holes occur often related to trauma and rarely require surgical intervention. The purpose of the present study was to evaluate outcomes of microincisional vitrectomy surgery. Methods: A multicenter retrospective consecutive case series was conducted of pediatric patients undergoing surgery for macular hole repair. Results: A total of 31 eyes from 8 centers were included in this study. The mechanism of macular hole development was blunt trauma in 30 eyes (97%) and industrial laser in 1 eye (3%). The rate of anatomic closure after primary vitrectomy was 81% (25 eyes); the final anatomic closure rate after a secondary vitrectomy was 94% (29 eyes). There was a statistically significant improvement in visual acuity from initial presentation (20/164) to final follow-up (20/100) ( P = .009). Conclusions: Microincisional vitrectomy surgery for pediatric macular holes results in substantial anatomic success and modest improvement in visual acuity.

Publisher

SAGE Publications

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Spontaneous closure of macular holes in children;Russian Pediatric Ophthalmology;2024-06-14

2. Pediatric Traumatic Macular Hole—A Review;International Ophthalmology Clinics;2024-03-25

3. A Case of Green Laser Pointer-induced Atypical Impending Macular Hole Treated with Vitrectomy in a Pediatric Patient;Annals of Optometry and Contact Lens;2023-09-25

4. Pediatric Macular Holes;Pediatric Vitreoretinal Surgery;2023

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