combined idiopathic macular hole vitrectomy with phacoemulsification without face-down positioning超声乳化吸出术联合特发性黄斑孔玻璃体切除术不面定位.pdfVIP

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combined idiopathic macular hole vitrectomy with phacoemulsification without face-down positioning超声乳化吸出术联合特发性黄斑孔玻璃体切除术不面定位.pdf

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combined idiopathic macular hole vitrectomy with phacoemulsification without face-down positioning超声乳化吸出术联合特发性黄斑孔玻璃体切除术不面定位

Hindawi Publishing Corporation Journal of Ophthalmology Volume 2012, Article ID 571748, 4 pages doi:10.1155/2012/571748 Clinical Study Combined Idiopathic Macular Hole Vitrectomy with Phacoemulsiﬁcation without Face-Down Positioning Fumihiko Yagi, Seiji Takagi, and Goji Tomita Department of Ophthalmology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro, Tokyo 153-8515, Japan Correspondence should be addressed to Fumihiko Yagi, fyagi@med.toho-u.ac.jp Received 12 August 2011; Accepted 11 December 2011 Academic Editor: Denise Hug Copyright © 2012 Fumihiko Yagi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To evaluate the outcome of combined vitrectomy with phacoemulsiﬁcation without postoperative face-down positioning for idiopathic macular holes (MHs). Design. Retrospective, observational case series. Participants. Forty-two eyes of 42 patients with MH. Methods. We studied 42 eyes of 42 cases followed up for 6 months postoperatively. MH closure rate and preoperative and postoperative visual acuity (VA) were evaluated. Main Outcome Measures. MH closure rate and VA were evaluated after combined vitrectomy with phacoemulsiﬁcation without postoperative face-down positioning. Results. Of the 42 holes, 40 (95.2%) were ini- tially closed, and the ﬁnal closure rate was 100%. Compared with preoperative VA, the mean VA was signiﬁcantly improved at 1 month and the improvement was maintained for at least 6 months postoperatively. Conclusions. Combined vitrectomy with phaco- emulsiﬁcation without postoperative face-down positioning produced favorable anatomic and functional results for MH repair.