@article{oai:shiga-med.repo.nii.ac.jp:00003345, author = {坂口, 裕和 and 大路, 正人 and 大嶋, 佑介 and 生野, 恭司 and 五味, 文 and 前田, 直之 and 瓶井, 資弘 and 日下, 俊次 and 西田, 幸二 and Sakaguchi, Hirokazu and OHJI, Masahito and Oshima, Yusuke and Ikuno, Yasushi and Gomi, Fumi and Maeda, Naoyuki and Kamei, Motohiro and Kusaka, Shunji and Nishida, Kohji}, journal = {Clinical Ophthalmology}, month = {Dec}, note = {To assess time-course changes in best-corrected visual acuity (BCVA) up to 5 years after vitrectomy to treat idiopathic full-thickness macular holes (MHs) and identify the relationship of the changes to postoperative complications., Twenty-three consecutive patients with an idiopathic MH underwent vitrectomy without adjuvant treatment. BCVA and complications were assessed postoperatively., Twenty-two of 23 (95.7%) MHs closed after the first surgery, with a final anatomic success rate of 100%. The time course of the BCVA was analyzed in 20 cases in which data were obtained for over 5 years. The BCVA improved by 0.43 logarithm of the minimum angle of resolution (logMAR) unit 6 months postoperatively (P < 0.001) and continuously improved by 0.05, 0.06, and 0.07 logMAR units between 6 months and 1 year, 1 year and 3 years (by 0.11 logMAR unit between 6 months and 3 years; P = 0.049), and 3 years and 5 years (P = 0.018) postoperatively, respectively. Macular complications developed in seven (35%) of the 20 cases; the mean BCVA at 5 years in these cases was significantly (P < 0.001) worse than in cases without complications., The BCVA might improve gradually for 5 years after vitrectomy to treat MHs. However, the macular complications that can develop postoperatively could limit that possibility., Journal Article}, pages = {1281--1286}, title = {Long-term follow-up after vitrectomy to treat idiopathic full-thickness macular holes: visual acuity and macular complications.}, volume = {6}, year = {2012} }