Case Series

Surgical Outcomes in Macular Telangiectasia Type 2-Related Macular Holes: A Report on Four Patients

Table 1

Summary table of patient characteristics, surgical methods, and outcomes of patients with FTMH associated with MacTel Type 2.

Case 1 ODCase 1 OSCase 2 ODCase 3 OSCase 4 OD

Age (years)6262716557
GenderFemaleFemaleMaleFemaleFemale
Preoperative BCVA20/8020/8020/5020/20020/60
Time from symptom onset to surgery1 month3 months4 months9 monthsUnknown
Macular hole size (μm)
 Diameter410246225184493
 Maximum height426424340403309
Posterior vitreous detachmentYesYesNoNoNo
Surgical procedurePPV, ICG-assisted ILM peeling, cataract surgery done at the time of PPVPPV, ICG-assisted ILM peeling, cataract surgery done at the time of PPVPPV, ICG-assisted ILM peelingPPV, ICG-assisted ILM peelingPPV, ICG-assisted ILM peeling, cataract surgery done 1 month prior to PPV
Tamponading agent30% SF630% SF630% SF630% SF615% C3F8
Positioning, durationProne, 1 weekProne, 1 weekProne, 1 weekProne, 1 weekProne, 1 week
Anatomical hole closureClosed holeClosed holeClosed holeClosed holeNot closed
EZ and ELM integrity on most recent OCTYesYesYesYesNo
BCVA at last follow-up20/2520/2020/20-120/40-120/60
Length of follow-up26 months37 months21 months35 months22 months

PPV: pars plana vitrectomy; ILM: internal limiting membrane; ICG: indocyanine green; EZ: ellipsoid zone; ELM: external limiting membrane; BCVA: best corrected visual acuity; SF6: sulfur hexafluoride; C3F8: perfluoropropane.