[Current strategies for macular hole surgery in Germany, Austria and Switzerland]

Ophthalmologe. 2006 Nov;103(11):922-6. doi: 10.1007/s00347-006-1405-9.
[Article in German]


Background: Main aim of this study was to determine how macular hole surgery is currently being performed in Germany, Austria and Switzerland.

Methods: A questionnaire concerning the different aspects of surgery for stage 3 macular hole was developed and sent out to the 380 members of the German Retina Society.

Results: This analysis is based on 129 returned questionnaires from colleagues who perform macular hole surgery. A total of 95% (n=123) of the surgeons routinely perform vitrectomy with posterior vitreous detachment, peeling of epiretinal tissue and internal limiting membrane (ILM) peeling. Some 86% (n=106) stain the ILM, with 80% of these (n=85) using indocyanine green (ICG) in concentrations ranging from 0.005% up to 10%. Fourteen percent of ICG users perform a fluid-air exchange before applying the dye. Platelet concentrate is used by 8% of the surgeons with 97% (n=125) performing a gas tamponade using SF6 (53%), C3F8 (22%), C2F6 (16%) or just air (5%) (multiple answers: 4%). Simultaneous cataract surgery is routinely performed by 8%; by 73% only if there is significant cataract.

Conclusions: There is common consent on the basic surgical steps, but several surgical details, e.g. ILM staining, are performed in substantially different ways.

Publication types

  • Comparative Study

MeSH terms

  • Austria
  • Cataract Extraction / statistics & numerical data
  • Combined Modality Therapy
  • Cross-Cultural Comparison*
  • Epiretinal Membrane / surgery
  • Germany
  • Humans
  • Retinal Perforations / classification
  • Retinal Perforations / diagnosis
  • Retinal Perforations / surgery*
  • Surveys and Questionnaires
  • Switzerland
  • Vitrectomy / statistics & numerical data
  • Vitreous Detachment / surgery