A Multicenter Study of Pediatric Macular Holes: Surgical Outcomes With Microincisional Vitrectomy Surgery

Nikisha Kothari; Sarah P. Read; Caroline R. Baumal; Antonio Capone; Emmanuel Chang; Kimberly A. Drenser; Philip J. Ferrone; Eric Nudleman; Prethy Rao; Robert A. Sisk; William E. Smiddy; Yoshihiro Yonekawa; Audina Berrocal

doi:10.1177/2474126419887555

A Multicenter Study of Pediatric Macular Holes: Surgical Outcomes With Microincisional Vitrectomy Surgery

Nikisha Kothari, Sarah P. Read, Caroline R. Baumal, Antonio Capone, Emmanuel Chang, Kimberly A. Drenser, Philip J. Ferrone, Eric Nudleman, Prethy Rao, Robert A. Sisk, William E. Smiddy, Yoshihiro Yonekawa, Audina Berrocal

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Purpose: Pediatric macular holes occur often related to trauma and rarely require surgical intervention. The purpose of the present study was to evaluate outcomes of microincisional vitrectomy surgery. Methods: A multicenter retrospective consecutive case series was conducted of pediatric patients undergoing surgery for macular hole repair. Results: A total of 31 eyes from 8 centers were included in this study. The mechanism of macular hole development was blunt trauma in 30 eyes (97%) and industrial laser in 1 eye (3%). The rate of anatomic closure after primary vitrectomy was 81% (25 eyes); the final anatomic closure rate after a secondary vitrectomy was 94% (29 eyes). There was a statistically significant improvement in visual acuity from initial presentation (20/164) to final follow-up (20/100) (P =.009). Conclusions: Microincisional vitrectomy surgery for pediatric macular holes results in substantial anatomic success and modest improvement in visual acuity.

Original language	English (US)
Pages (from-to)	22-27
Number of pages	6
Journal	Journal of VitreoRetinal Diseases
Volume	4
Issue number	1
DOIs	https://doi.org/10.1177/2474126419887555
State	Published - Jan 1 2020

Keywords

macular holes
pediatric macular holes
pediatric retina
trauma

ASJC Scopus subject areas

Ophthalmology

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Kothari, N., Read, S. P., Baumal, C. R., Capone, A., Chang, E., Drenser, K. A., Ferrone, P. J., Nudleman, E., Rao, P., Sisk, R. A., Smiddy, W. E., Yonekawa, Y., & Berrocal, A. (2020). A Multicenter Study of Pediatric Macular Holes: Surgical Outcomes With Microincisional Vitrectomy Surgery. Journal of VitreoRetinal Diseases, 4(1), 22-27. https://doi.org/10.1177/2474126419887555

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title = "A Multicenter Study of Pediatric Macular Holes: Surgical Outcomes With Microincisional Vitrectomy Surgery",

abstract = "Purpose: Pediatric macular holes occur often related to trauma and rarely require surgical intervention. The purpose of the present study was to evaluate outcomes of microincisional vitrectomy surgery. Methods: A multicenter retrospective consecutive case series was conducted of pediatric patients undergoing surgery for macular hole repair. Results: A total of 31 eyes from 8 centers were included in this study. The mechanism of macular hole development was blunt trauma in 30 eyes (97%) and industrial laser in 1 eye (3%). The rate of anatomic closure after primary vitrectomy was 81% (25 eyes); the final anatomic closure rate after a secondary vitrectomy was 94% (29 eyes). There was a statistically significant improvement in visual acuity from initial presentation (20/164) to final follow-up (20/100) (P =.009). Conclusions: Microincisional vitrectomy surgery for pediatric macular holes results in substantial anatomic success and modest improvement in visual acuity.",

keywords = "macular holes, pediatric macular holes, pediatric retina, trauma",

author = "Nikisha Kothari and Read, {Sarah P.} and Baumal, {Caroline R.} and Antonio Capone and Emmanuel Chang and Drenser, {Kimberly A.} and Ferrone, {Philip J.} and Eric Nudleman and Prethy Rao and Sisk, {Robert A.} and Smiddy, {William E.} and Yoshihiro Yonekawa and Audina Berrocal",

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year = "2020",

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doi = "10.1177/2474126419887555",

language = "English (US)",

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AU - Read, Sarah P.

AU - Baumal, Caroline R.

AU - Capone, Antonio

AU - Chang, Emmanuel

AU - Drenser, Kimberly A.

AU - Ferrone, Philip J.

AU - Nudleman, Eric

AU - Rao, Prethy

AU - Sisk, Robert A.

AU - Smiddy, William E.

AU - Yonekawa, Yoshihiro

AU - Berrocal, Audina

PY - 2020/1/1

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N2 - Purpose: Pediatric macular holes occur often related to trauma and rarely require surgical intervention. The purpose of the present study was to evaluate outcomes of microincisional vitrectomy surgery. Methods: A multicenter retrospective consecutive case series was conducted of pediatric patients undergoing surgery for macular hole repair. Results: A total of 31 eyes from 8 centers were included in this study. The mechanism of macular hole development was blunt trauma in 30 eyes (97%) and industrial laser in 1 eye (3%). The rate of anatomic closure after primary vitrectomy was 81% (25 eyes); the final anatomic closure rate after a secondary vitrectomy was 94% (29 eyes). There was a statistically significant improvement in visual acuity from initial presentation (20/164) to final follow-up (20/100) (P =.009). Conclusions: Microincisional vitrectomy surgery for pediatric macular holes results in substantial anatomic success and modest improvement in visual acuity.

AB - Purpose: Pediatric macular holes occur often related to trauma and rarely require surgical intervention. The purpose of the present study was to evaluate outcomes of microincisional vitrectomy surgery. Methods: A multicenter retrospective consecutive case series was conducted of pediatric patients undergoing surgery for macular hole repair. Results: A total of 31 eyes from 8 centers were included in this study. The mechanism of macular hole development was blunt trauma in 30 eyes (97%) and industrial laser in 1 eye (3%). The rate of anatomic closure after primary vitrectomy was 81% (25 eyes); the final anatomic closure rate after a secondary vitrectomy was 94% (29 eyes). There was a statistically significant improvement in visual acuity from initial presentation (20/164) to final follow-up (20/100) (P =.009). Conclusions: Microincisional vitrectomy surgery for pediatric macular holes results in substantial anatomic success and modest improvement in visual acuity.

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KW - pediatric retina

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A Multicenter Study of Pediatric Macular Holes: Surgical Outcomes With Microincisional Vitrectomy Surgery

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