Abstract：
BACKGROUND:The surgical management of macular holes has been a subject of controversy in recent years. Various techniques such as vitrectomy, membrane peeling, and gas tamponade with or without transforming growth factor-beta 2, and recently the use of autologous platelets have produced closure rates from 58% to 96%, depending on the stage of the hole. METHODS:The authors present preliminary results in a study of 19 consecutive patients with stage 3 or stage 4 macular hole who underwent vitrectomy followed by placement of an absorbable partially cross-linked gelatin plug in the macular hole. The vitreous cavity was filled with a nonexpanding gas or air alone; the patient was instructed to maintain prone positioning for 2-3 days. RESULTS:Anatomic attachment of the edges of the macular hole was achieved in 19 out of 19 patients with a minimum follow-up period of 6 months (average 11.5 months). CONCLUSIONS:A cross-linked gelatin plug can effectively reattach the edges of macular holes of stages 3 and 4. Its use is recommended only in macular holes in high myopes with posterior staphyloma or recurrent macular hole.
journal_name
Int Ophthalmoljournal_title
International ophthalmologyauthors
Peyman GA,Daun M,Greve MD,Yang D,Wafapoor H,Rifai Adoi
10.1023/a:1005866002930subject
Has Abstractpub_date
1997-01-01 00:00:00pages
87-91issue
2eissn
0165-5701issn
1573-2630journal_volume
21pub_type
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journal_title：International ophthalmology
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