Efficacy of macular massage combined with negative pressure suction for giant idiopathic macular hole

Abstract

Objective To evaluate the efficacy of 25 G vitrectomy combined with macular massage and negative pressure suction for the treatment of giant idiopathic macular hole. Methods Clinical data of 27 eyes of 27 patients with giant idiopathic macular hole, of which the diameter was 500-800 μm, from Apr.2016 to Dec.2018 in Hanyang Eyegood Ophthalmic Hospital was analyzed retrospectively. Macular massage and negative pressure suction with flute needle were performed after 25 G vitrectomy and peeling of the inner limiting membrane. Results Macular hole closure at 3-5 days postoperatively occurred in 25 eyes(92.6%). Best corrected visual acuity (BCVA, logMAR) at 3-5 days postoperatively were ameliorated from 1.28±0.30 to 1.04±0.37(t=3.860, P=0.032). The postoperative intraocular pressure (IOP) was similar to the preoperative IOP within normal limits(t=2.147, P=0.226). No complication such as iatrogenic injury of macular, bleeding, retinal detachment or secondary glaucoma was recorded in the intra-operative and the follow-up period. Conclusion 25 G vitrectomy combined with macular massage and negative pressure suction contributes to the anatomical repair and visual function recovery of patients with giant idiopathic macular hole. Key words: Vitrectomy; Massage, macular; Suction, negative pressure; Hole, macular, idiopathic, giant