Alor Setar experience: Surgical outcomes of Macular Hole surgery folding method

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Purpose: To review the surgical outcomes of macular hole surgery with internal limiting membrane  (ILM) folding method in Hospital Sultanah Bahiyah (HSB), Alor Setar.

Method: A retrospective study reviewing the functional and anatomical outcomes of macular hole surgery with ILM folding method for all related cases in HSB during the period between January 2013 to December 2018.

Results: Thirty-seven patients with purely full-thickness macular hole who underwent ILM folding method surgery were included in the study, with 21 females and 16 males. Ages ranged between 51-74 years. We observed the outcomes of macular hole surgery using folding method based on visual improvement and macular hole closure at 6-weeks and 6-months post-surgery. All surgeries were performed by a single vitreo-retinal surgeon in HSB. Following macular hole surgery using folding method, 31 cases (83.8%) and  thirty-three cases (89.2%) showed visual improvement by two or more lines at 6-weeks and 6-months post-surgery, respectively. Hole closure was achieved in all cases (100%) of macular hole surgery using the folding method at 6 weeks and 6 months post-surgery.

Conclusion: In conclusion, surgical outcomes of macular hole surgery using ILM folding method in Alor Setar is comparable to available literatures such as Baba et al (2017) and Matsumura et al (2016). The folding method showed superior surgical outcomes as compared to the conventional ILM peeling method in macular hole surgery. Besides techniques, macular hole surgical success is also attributed by size of macular hole and its chronicity.


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