Purpose: To compare the efficacy of PPV and ILM peel versus PPV and IFT in patients with traumatic FTMH.

Methods: Retrospective interventional comparative case series including two groups of patients with traumatic FTMH. Patients were divided into group I (ILM peel) and group II (IFT). The main outcome measure was closure of the macular hole and restoration of the foveal microstructure. The independent-samples -test and ANOVA test were used to study the mean between 2 groups and calculate the value, whereas the bivariate correlation procedure studied the interaction between the variables tested.

Results: Group I included 28 patients. Mean preoperative MLD was 757 m. Mean preoperative BCVA was approximately 20/320. Group II included 12 patients. Mean preoperative MLD was 529.5 m. Mean preoperative BCVA was 20/320. Group I had a macular hole closure rate of 75% versus 92% in group II =0.05. Mean BCVA improvement was 2.5 lines in group I versus 5 lines in group II =0.02. Disrupted ELM and IS/OS was the most salient finding in both groups.

Conclusion: IFT has a significantly superior anatomic and functional outcome compared to ILM peel in traumatic FTMH.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501415PMC
http://dx.doi.org/10.1155/2019/1959082DOI Listing

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