Surgery for Idiopathic Full-Thickness Macular Hole

Abstract

Numerous studies^1-38 havedescribed the benefits of surgical treatment for idiopathic full-thicknessmacular hole (FTMH). The rationale for performing a vitrectomy and gas tamponadeis 2-fold. First, vitrectomy allows the removal of direct vitreous tractionfrom the fovea and, second, postoperative gas tamponade results in flatteningand reapposition of the hole edges, which facilitates glial repair after surgery.In this way, after successful anatomic closure of the hole, normal or nearnormal foveal architecture could be reestablished, with an improvement invision.