Vitreous surgery for traumatic macular holes

Retina. 1999;19(5):410-3. doi: 10.1097/00006982-199909000-00007.


Purpose: To review the anatomic and visual outcomes of a series of patients with traumatic macular holes who underwent vitreous surgery without adjunctive therapy.

Methods: We performed a retrospective chart review of 23 patients who underwent vitrectomy, fluid-gas exchange, and sulfur hexafluoride gas tamponade for traumatic macular holes. Anatomic success rate and final visual improvement after the surgery were studied.

Results: Medical records of 23 patients (23 eyes) who underwent this procedure were reviewed. Closure of the macular hole was achieved in 16 (70%) eyes with one surgery and in 22 (96%) of the 23 eyes with two surgeries. The mean best-corrected preoperative visual acuity was 20/160, and postoperative visual acuity was 20/60 with a mean (+/- standard deviation) follow-up of 23+/-13 months (range 3-56 months). Fourteen (61 %) of the 23 eyes achieved a best-corrected postoperative visual acuity of 20/60 or better, and 11 (48%) of the 23 eyes achieved 20/40 or better. Twenty (87%) of the 23 eyes achieved at least two lines of visual improvement.

Conclusions: Vitreous surgery without adjunctive therapy for traumatic macular holes can lead to anatomic success and visual acuity improvement in most eyes.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Eye
  • Eye Injuries / complications*
  • Eye Injuries / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Injections
  • Macula Lutea / injuries*
  • Male
  • Middle Aged
  • Reoperation
  • Retinal Perforations / etiology
  • Retinal Perforations / surgery*
  • Retrospective Studies
  • Sulfur Hexafluoride / administration & dosage
  • Treatment Outcome
  • Visual Acuity
  • Vitrectomy* / methods


  • Sulfur Hexafluoride