The high success rate for macular hole (MH) surgery is a great source of satisfaction for patients and vitreoretinal surgeons. The discovery of not lasering the macular hole when treating an associated retinal detachment established a therapy that previously did not exist.1 Subsequent studies and experience by many others have identified prognostic subsets that have better or poorer outcomes, such that anatomic success exceeds 90% in most cases, with satisfyingly moderate visual improvement in at least 75%.
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Smiddy WE, Flynn HW, Vanner EA. Facedown Postoperative Positioning for Large Macular Holes. JAMA Ophthalmol. Published online May 07, 2020. doi:10.1001/jamaophthalmol.2020.0986
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