Abstract:

Objective    To evaluate the clinical efficacy of vitrectomy and internal limiting membrane peeling combined with phacoemulsification and IOL(Intraocular Lens Implantation) implantation for idiopathic macular holes with cataract. Methods    52 eyes were treated with phacoemulsification and vitrectomy. The internal limiting membrane was peeled and IOL was implanted. The eyes were filled with 20%C2F6 tamponade. Results    The closure of the macular hole was confirmed by OCT(Optical coherence tomography) in 51 eyes. Postoperative visual acuity of 46 eyes(88.5%) was improved. Early postoperative complications included corneal edema(5 eyes) ,macularedema(3 eyes) and transient increase of IOP (Intraocular pressure, 8 eyes). Late postoperative complications included secondary cataract in 3 eyes,which needed to be treated by Nd:YAG laser. Conclusion    As for idiopathic macular holes with cataract,vitrectomy and internal limiting membrane peeling combined with phacoemulsification is a secure, effective method with fewer postoperative complications.

Key words: Idiopathic macular holes; Cataract; Phacoemulsification; IOL; Internal limiting membrane peeling