In general, small-gauge transconjunctival vitrectomy has gained wide recognition due to its intra- and post-operative superiority, as it involves less pain, a shorter surgical time and a lower rate of post-operative inflammation (13). The 23-gauge transconjunctival system was then proposed, which combined the merits of 25- and 20-gauge instrumentation (14). Previous studies have confirmed the safety and reliability of the 25-gauge vitrectomy system with sutureless self-sealing sclerotomies in the treatment of various vitreoretinal diseases (12,13). Internal limiting membrane (ILM) peeling, an alternative treatment method, may increase the probability of primary anatomical closure of MHs (9–11). Various adjunctive therapeutic strategies have also been introduced for MH treatment. Vitrectomy in combination with intraocular gas tamponade was the first remedy for MHs with a prominent success rate (7,8).
In the past, MHs were considered to be incurable. IMH mainly occurs in individuals aged 60–70 years, with ~66.7% of those affected being female (3–6). A significant correlation was identified between the MH index and the post‑operative LogMAR BCVA (r=0.869 P Introduction Idiopathic macular holes (IMH) are a major vitreoretinal pathology that may cause metamorphopsia and poor central vision (1,2). The LogMAR BCVA value at 1 month after surgery and the final follow‑up visit was significantly lower than the baseline value (P=0.0036 and P=0.0015, respectively). Anatomic closure of the MH was achieved in 19 eyes (90.4%) with a single surgery. The pre‑operative MH diameter, MH index and best‑corrected visual acuity (BCVA), as well as events of post‑operative MH closure and complications were recorded and analyzed. All patients were treated by 23‑gauge microincision vitrectomy with internal limiting membrane peeling, gas tamponade and combined phacoemulsification. A total of 21 consecutive patients (21 eyes) with coexisting IMH and age‑associated cataract were enrolled in the study. Abstract: The aim of the present study was to assess the curative effect of combined phacoemulsification, 23‑gauge pars plana vitrectomy with Brilliant blue G‑assisted limiting membrane peeling and gas tamponade in patients with coexisting idiopathic macular hole (IMH) and age‑associated cataract.
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