ABSTRACT
The authors report surgical outcomes of full-thickness macular hole repair in two patients with idiopathic macular telangiectasia in a non-comparative case series. Both patients underwent pars plana vitrectomy with indocyanine green-assisted internal limiting membrane peeling and injection of 16% C3F8 gas. Patients were imaged with optical coherence tomography (OCT) before and after surgery. The first patient demonstrated macular hole closure on examination and OCT with visual improvement from 20/50 preoperatively to 20/30 after macular hole surgery and subsequent cataract surgery. The second patient’s hole closed per OCT immediately after surgery but reopened 4 months later, and visual acuity remained 20/70. Macular hole surgery may be an effective treatment in patients with idiopathic macular telangiectasia and full-thickness macular holes and should be further investigated.
AUTHORS
From the Department of Ophthalmology (NG, HWF), Bascom Palmer Eye Institute, University of Miami Miller School of Medicine; and Miami Veterans Affairs Medical Center (NG), Miami, Florida.
Originally submitted June 19, 2009. Accepted for publication April 23, 2010. Posted online July 29, 2010.
Supported in part by an unrestricted grant from Research to Prevent Blindness, New York, New York.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to Ninel Gregori, MD, Bascom Palmer Eye Institute, 900 NW 17th Street, Miami, FL 33136. E-mail: ngregori@med.miami.edu
doi: 10.3928/15428877-20100726-10
