Abdur Rasheed Khokhar, Khowaja Faizur Rab, Hafiz Usman Akhtar.
Management of Macular Pucker.
J Coll Physicians Surg Pak Jan ;13(12):701-3.
Objective: To document the outcome of macular pucker surgery in terms of improvement of visual acuity. Design: Interventional quasi experimental study. Setting: Ophthalmology Department, Civil Hospital, Karachi. Patients and Methods: Twenty-two patients with macular pucker underwent surgical repair. Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) was carried out. Postoperative follow-up was done for one year. Main outcome measure were visual acuity, causes and ocular complications. Data was analyzed using SPSS Version-10. Non-parametric sign test with chi-square statistic was used to compare the pre-operative and postoperative outcome. Results: The macular pucker was successfully removed in 18 patients that revealed high statistical significance regarding improvement in visual acuity. Earlier, significant improvement (18 / 22 cases) was observed at three-month postoperative examination (p < 0.0001). Insignificant (9/22) postoperative complications were noted at six-month postoperative follow-up. Metamorphopsia was relieved in 18 patients. Ten patients developed cataract, 4 patients developed increased intra-ocular pressure (transient) and two patients developed retinal detachment. Conclusion: Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) can successfully remove macular pucker, improve vision and relieve metamorphopsia.
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