Review of reopening of macular holes after initially successful surgery Kazuyuki Kumagai 1 , Nobuchika Ogino 1 , Seiji Demizu 1 , Kazunari Atsumi 2 , Hideyuki Kurihara 3 , Masayoshi Iwaki 4 , Hitoshi Ishigooka 5 , Naoko Tachi 6 1Shinjo Ophthalmol Instit 2Dept of Ophthalmol, Kami-iida First General Hosp 3Kurihara Ophthalmol Instit 4Dept of Ophthalmol, Aichi Med Univ 5Dept of Ophthalmol, Kyoto Katsura Hosp 6Dept of Ophthalmol, Shinseikai Toyama Hosp pp.353-358
Published Date 2001/3/15
DOI https://doi.org/10.11477/mf.1410908984
  • Abstract
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We reviewed consecutive 594 eyes of surgically treated idiopathic macular hole with particular attention to reopening after initial hole closure. All the eyes had been operated on by one surgeon. Initial hole closure was obtained in 553 eyes, of which the hole reopened in 32 eyes (5.8%). These 32 eyes comprised 9 eyes (28%) of 9 males and 23 eyes (72%) of 22 females. There were 8 bilateral cases (26%). Reopening of macular hole occurred twice in 3 eyes and three times in one. The visual acuity averaged 0.19 before surgery, 0.53 before reopening and 0.27 after reopening. After reopening, 25 eyes underwent additional surgery. The hole was closed in 23 eyes (92%) resulting in visual acuity averaging 0.41. In the other 7 eyes which did not receive additional surgery, the averaged visual acuity remained at 0.26. The findings show that reopening of macular hole is more common in females and in bilatelal cases. Additional surgery was effective but the visual acuity was poorer than before reopening.

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