Gliosis developed in a small percentage of eyes after macular hole surgery.
PROGNOSTIC FACTORS FOR DEVELOPMENT OF GLIOSIS AFTER INTERNAL LIMITED MEMBRANE FLAP FOR IDIOPATHIC MACULAR HOLES.
Edward Barayev … Rita Ehrlich
Retina (Philadelphia, Pa.) · 2026
Purpose
To investigate the prognostic factors for development of gliosis after idiopathic macular hole (idiopathic macular hole) surgery and its relationship to functional and anatomical success.
Methods
This retrospective study included patients with idiopathic macular hole that underwent pars plana vitrectomy using internal limiting membrane flap technique.
12.3%
Results
12.3%
eyes developed scarring after surgery for a macular hole
More results
Forty-three underwent temporal flap and 22 an inverted flap 360° around the hole.
0.43 ± 0.33 [20/54], P = 0.222).
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Conclusion · 1 of 2
Our study supports the use of inverted internal limiting membrane flap for idiopathic macular hole as a primary procedure. No gliosis was shown in small macular holes undergoing this technique.
Conclusion · 2 of 2
Even in large idiopathic macular hole where gliosis has developed, an improvement in visual acuity was shown after surgery.
