Improvement of Viual Acuity One-year After Vitreou urgery in Eye with Reidual Triamcinolone Acetonide at the Macular Hole Original Reearch Article

Purpoe To invetigate whether triamcinolone acetonide in the macular hole after urgery interfere with anatomic macular hole repair or viual acuity improvement. Deign Propective, interventional cae erie with hitorical comparion. Method Par plana vitrectomy and triamcinolone acetonide-aited internal limiting membrane peeling were performed in 26 eye (24 patient) with tage 3 or 4 idiopathic macular hole. The viual acuitie one-year after urgery were compared between eye with and without reidual triamcinolone acetonide after urgery. Reult The macular hole were cloed uccefully in all 26 eye. Nine eye (35%) had reidual triamcinolone acetonide in the macular hole at the end of the urgery and in the fovea on day 3 after urgery. The mean preoperative logarithm of the minimum angle of reolution (logMAR) viual acuity ± tandard deviation wa 0.73 ± 0.36 and improved ignificantly to 0.20 ± 0.29 one-year after urgery (P = .010). In the nine eye with reidual triamcinolone acetonide, the preoperative mean logMAR triamcinolone acetonide wa 0.81 ± 0.33, which improved to 0.20 ± 0.19 one-year after urgery (P = .013). In the remaining 17 eye, the mean viual acuity alo improved from 0.71 ± 0.38 before urgery to 0.21 ± 0.28 after urgery (P = .001). No ignificant difference wa found between the group in preoperative and potoperative logMAR viual acuitie. Concluion Reidual triamcinolone acetonide in the macular hole doe not interfere with anatomic or viual improvement.