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¹İstanbul Retina Enstitüsü, İstanbul, Uzm. Dr.
²İstanbul Retina Enstitüsü, İstanbul, Prof. Dr.
³İstanbul Retina Enstitüsü, İstanbul, Doç. Dr. Purpose: To investigate long term anatomic and visual outcomes in patients with idiopathic macular hole after triamsinolone acetonide assisted internal limiting membrane (ILM) peeling.
Materials and Methods: Forty-five eyes of 43 patients who underwent macular hole surgery with triamsinolone acetonide assisted ILM peeling were included in the study. Patients with <12 months of follow-up were not included. Follow-up examinations included ophthalmic examination, optical coherence tomography and intraocular pressure measurement with applanation tonometry. Main outcomes measures were postoperative visual acuity, macular hole status and postoperative complications.
Results: Triamsinolone acetonide improved visualization of the ILM. Mean follow-up period was 28.3±18.9 months. All macular holes succesfully closed after primary surgery. No recurrence was seen in succesfully closed holes. Mean visual acuity improved from 0.67±0.2 (LogMAR) to 0.28±0.2 at the final visit. At the last follow-up, 43 eyes (96%) had an improvement in visual acuity of 1 or more lines compared with their preoperative acuity. Postoperative complications included cataract development in phakic eyes (88%), retinal detachment (2%) and transient intraocular pressure elevation (16%).
Conclusions: Long term anatomic and visual outcomes of idiopathic macular hole surgery in patients with triamsinolone acetonide assisted ILM peeling is succesful. Intravitreal triamsinolone acetonide facilitate visualization of the ILM peeling and do not lead to bad long term anatomic and visual outcomes. Keywords : Triamsinolone, acetonide, macular hole, internal limiting membrane