Treatment of Chronic Large and Persistent Macular Hole by a new technique in a Tertiary Care Hospital

  • Tanweer Hasan Khan LRBT Tertiary Eye Care hospital, Korangi 2 ½, Karachi
  • Fawad Rizvi Syed LRBT Tertiary Eye Care hospital, Korangi 2 ½, Karachi
  • Asaad Mahmood Syed Layton Rehmatulla Benevolent Trust
  • Lubna Feroz LRBT Tertiary Eye Care hospital, Korangi 2 ½, Karachi
Keywords: Macular hole, Hydrodissection, Vitrectomy

Abstract

Objective: To assess the anatomical and functional outcomes of treating chronic persistent large macular hole by macular hole hydrodissection technique in a tertiary eye care hospital.

Methods: This interventional case series study was conducted in the Vitreoretinal department of LRBT Tertiary Teaching Eye Hospital, Karachi, from October 2017 to March 2018, with follow-ups till February 2019. The study included eighteen cases of chronic (symptoms of loss of central vision ≥ 2years), persistent (previously failed macular hole surgery), large (aperture diameter of ≥ 400µm) macular hole. Out of the eighteen patients, eight (44.4%) were males and ten (55.6%) were females. All operated patients underwent macular hole hydrodissection by balanced salt solution using a silicone soft tip extrusion cannula. Patients were followed up post operatively to assess post-operative complications and surgical results.

Results: Among eighteen patients with a mean aperture diameter of 477.1±102.9 µm and basal diameter of 849.4± 92.6µm, complete anatomical closure was achieved in sixteen (88.8%). Five (27.7%) out of the eighteen patients achieved best corrected visual acuity improvement of 6/36, whereas seven (38.8%) patients reached up to a BCVA of 6/60, with maximum improvement of two lines. The mean post-operative follow-up was 332.3± 46.7 days.

Conclusion: Macular hole hydrodissection is a relatively new emerging technique with promising results for the closure of chronic persistent large macular hole.

doi: https://doi.org/10.12669/pjms.37.4.3618

How to cite this:
Khan TH, Rizvi SF, Mahmood SA, Feroz L. Treatment of Chronic Large and Persistent Macular Hole by a new technique in a Tertiary Care Hospital. Pak J Med Sci. 2021;37(4):979-982. doi: https://doi.org/10.12669/pjms.37.4.3618

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2021-05-06
How to Cite
Khan, T., Syed, F., Syed, A., & Feroz, L. (2021). Treatment of Chronic Large and Persistent Macular Hole by a new technique in a Tertiary Care Hospital. Pakistan Journal of Medical Sciences, 37(4). https://doi.org/10.12669/pjms.37.4.3618
Section
Original Articles