Laser treatment of macular holes

Ophthalmology. 1988 May;95(5):574-82. doi: 10.1016/s0161-6420(88)33137-4.


Macular holes have not been treated with the laser because of the rarity of subsequent total retinal detachment (RD). The authors attempted to clear the subretinal fluid of the halo by laser coagulation of the rim of the hole. Eighteen eyes with visual acuity of 20/200 or less were treated with a laser and followed for a mean of 34.8 months. Ten eyes (55.6%) improved three to eight lines, five eyes (27.8%) remained the same, and the vision of three (16.6%) deteriorated three to five lines. The best visual results noted in three eyes (20/400-20/70, 20/200-20/80, and 20/200-20/60) correlated with the least late loss of pigment epithelium and pigment migration.

MeSH terms

  • Aged
  • Female
  • Fluorescein Angiography
  • Humans
  • Laser Therapy*
  • Light Coagulation
  • Male
  • Middle Aged
  • Postoperative Period
  • Retinal Degeneration / complications
  • Retinal Perforations / complications
  • Retinal Perforations / pathology
  • Retinal Perforations / surgery*