Original articleMacular Hole Surgery and Cataract Extraction: Combined vs Consecutive Surgery
Section snippets
Material and Methods
A retrospective nonrandomized clinical case series study collected data on 120 consecutive eyes of 120 patients undergoing macular surgery in 2 academic centers between January 2, 2006 and December 31, 2007. The surgical indication was stage 2, 3, or 4 idiopathic macular hole according to the Gass classification and confirmed by optical coherence tomography (OCT).12 All patients had symptomatic visual loss and needed vitrectomy for macular hole treatment. All patients consented to surgery after
Results
Far and near visual acuities improved significantly in both groups at 12 months (P < .0001). The 6-month postoperative BCVA significantly improved in the combined group (P < .0001) but not in the consecutive group (P = .06). BCVA improvement was significantly different between the 2 groups at 6 months (P < .0001), whereas it was no longer significant at 12 months (P = .36) (FIGURE 1, FIGURE 2). Indeed, the progression of the BCVA during the first year after macular hole surgery was different in
Discussion
According to the literature, both combined and consecutive surgeries are safe and effective methods to treat macular hole and cataract.13 A number of authors have progressively tried to define the best surgical procedure to achieve a closure rate better than 90%.14, 15 In the present series, consecutive and combined surgeries for macular hole and cataract extraction resulted in an improvement in visual acuity similar to that usually reported in the literature.13, 16, 17, 18, 19, 20
The most
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