Vitrectomy for macular pucker. Use after treatment of retinal tears or retinal detachment
S. de Bustros, T. A. Rice, R. G. Michels, J. T. Thompson, S. Marcus and B. M. Glaser
Vitreoretinal Unit, Wilmer Ophthalmological Institute, Johns Hopkins University, Baltimore, Md.
We review our experience and present an analysis of 119 consecutive cases
of macular pucker treated by vitrectomy and removal of the epiretinal
tissue following treatment for acute retinal tears (16 eyes) or
rhegmatogenous retinal detachment (103 eyes). Vision improved
postoperatively in 104 (87%) of the 119 eyes. Final visual acuity of 20/60
or better was achieved in 38 (75%) of 51 cases in which the macula had not
been detached previously and in 12 (24%) of 52 cases with prior macular
detachment. Two preoperative factors were associated with a final visual
acuity of 20/100 or better: (1) macula not involved by the original retinal
detachment, and (2) thin epiretinal membrane.
