Author No. of eyes (type of tamponade) Mean follow-up in months (range) Lens status Mean visual acuity evolution (logMAR) Percentage of eyes that gained /lost VA Anatomical evolution Comments Garretson et al. [39 ] 27 (22 gas or air) 9 (2–33) Mean improvement 3.2 lines 93% gained VA 7% lost VA 4.7% of eyes developed FTMH 92% improved OCT Androudi et al. [36 ] Prospective study 20 (C3F8) (12–46) 60% were pseudophakic 40% phaco in the first year Mean improvement 2.6 lines 85% gained VA 70% almost normal foveal contour 25% improved 5% no change Michalewska et al. [37 ] 26 (No tamponade) 12 19.2% phaco in the first year Initial VA 0.2 Snellen Final VA 0.51 92% gained 2 lines 3.8% lost 2 lines 50% normal foveal contour 27% irregular foveal contour IS/OS defects: 30% initial 7.6% final Eyes with fotoreceptor damage ⟶ final VA <0.2 Snellen Figueroa et al. [43 ] 12 (C3F8) 16.1 No phaco Initial VA 0.34 Final VA 0.17 75% gained 2 lines 25% stable VA (2 needed reoperation for FTMH) 0% lost VA 16.6% of eyes developed FTMH Casparis and Bovey [49 ] 45 (43 air or gas) 38% phaco Initial VA 0.4 Final VA 0.13 58% gained 2 lines 0% lost VA Parolini et al. [16 ] 19 (air) (i) 13 dense ERM (ii) 6 tractional ERM 12 36% pseudophakic 64% phaco-vit Dense ERM: Initial VA 0.4, Final VA 0.2 Tractional ERM: Initial VA 0.4, Final VA 0.2 73% gained VA 0% lost VA 15.7% of eyes developed FTMH Lee et al. [40 ] 31 (SF6) 39 (12–80) 29% were pseudophakic 41.9% phaco-vit 19.4% phaco after vitrectomy Initial VA 0.41 3 months 0.27, 6 months 0.24, 12 months 0.22, 39 months 0.23 Mean gain 0.17 58.1% gained 2 lines 6, 5% lost VA (CMO, recurrence of LMH) 62.5% normal foveal contour 25% improved foveal appearance Lee et al. [50 ] 30 16.6% were pseudophakic 60% phaco-vit 23.3% remained phakic Cataract surgery did not correlate with final VA Initial VA 0.51 Final VA 0.4 63% gained VA 20% stable VA 17% lost VA In the group with intact IS/OS, VA increased from 20/50 to 20/32 VA did not increase: (i) In the group with IS/OS disruption (ii) If initial VA <0.2 Snellen (iii) If initial foveal thickness <100 μm Celik et al. [25 ] 19 (SF6 or C2F6) 17.5 42% phaco Initial VA 0.54 Final VA 0.33 10.5% of eyes developed FTMH (i) 1 reoperated successfully 5 eyes had IS/OS defects⟶ 2 were partially restored 52% normalised foveal contour 31% improvement 10% no change Eyes with IS/OS defects did not improve VA even if defects were closed Sun et al. [41 ] 30 (22 with C3F8 and 8 no tamponade) 16.9 46.6% were pseudophakic 30% phaco after vitrectomy 23.3% remained phakic With C3F8: Initial VA 0.77 Final VA 0.44 Without C3F8: Initial VA 0.89 Final VA 0.52 Mean gain 3.4 lines 83% gained VA 63% gained 3 lines 0% lost VA IS/OS defects: 63.3% preoperatively 43% postoperatively 73.3% restored foveal contour 16.6% improved contour 10% persistent defect 3.3% of eyes have developed FTMH Final BCVA is associated with intact IS/OS line No significant difference in the initial and final VA between eyes with/without gas tamponade Sato et al. [38 ] 41 (23 air and 18 no tamponade) 6 85.3% phaco With air: Initial VA 0.26 Final VA 0.12 No tamponade: Initial VA 0.35 Final VA 0.14 2 lines VA gain: With air 30.4% Without air 61.1% IS/OS disruption in 5 eyes⟶restored postoperatively ELM disruption in 2 eyes⟶restored postoperatively No significant difference in the initial and final VA between eyes with/without air tamponade Lai et al. [42 ] 43 (C3F8) 44% LHEP 56% no LHEP Minimum 12 Initial VA 0.78 Final VA 0.44 Initial VA 0.71 Final VA 0.42 IS/OS defects Initial 68.4 Final 36.8 Initial 37.5 Final 33.3 VA increased similarly in both groups (with/without LHEP) Ko et al. [51 ] 58/73 LHEP 15/73 no LHEP 21.5 Phaco 75.9% Phaco 53.3% Initial VA 0.3 Final VA 0.1 Initial VA 0.38 Final VA 0.33 No patient with IS/OS disruption had restored IS/OS line 4.5% developed IS/OS disruption postoperatively Final VA significantly better in eyes without LHEP Coassin et al. [31 ] 106 (air/SF6/C3F8) 36 (1–116) 37% phaco-vit 28% phaco after vit Initial VA 0.45 Final VA 0.31 53% gained 2 lines 11% VA stable 20% lost VA 2.8% of eyes have developed FTMH 1 retinal detachment Restored foveal contour 66% VA improved in tractional and mixed, but not in degenerative LMH VA did not increase in the eyes that were previously pseudophakic (18 eyes) or those that remained phakic at the end of follow-up (19 eyes) Purtskhvanidze et al. [27 ] 11 85 (60–140) 28% were pseudophakic 72% phaco-vit (although they did not have cataract) Initial VA 0.4 Immediately before vitrectomy 0.5 Final VA 0.3 Figueroa et al. [52 ] 77 tractional LMH (with premacular membranes) 26 degenerative LMH (with LHEP) 30.8 (6–96) 12.6% phaco-vit (83.5% pseudophakic at the end) Initial VA 0.39 Final VA 0.18 Initial VA 0.56 Final VA 0.39 14.3% initial outer retina disruption 7.7% final outer retina disruption 50% initial outer retina disruption 42.3% final outer retina disruption 1.9% of eyes have developed FTMH 1 macula-on retinal detachment The type of tamponade did not influence anatomical success VA improvement was greater in tractional LMH Guber et al. [53 ] 36 3 63.9% phaco-vit Initial VA 0.3 Final VA 0.2 72% gained VA 19.5% stable VA 11.5% lost 1 line 92% improved foveal contour 0 IS/OS defects 1 macula-on retinal detachment Morescalchi et al. [44 ] prospective 24 degenerative LMH (with LHEP) 6 Initial VA 0.44 Final VA 0.17 79% restoration of foveal appearance Fovea sparing technique (ILM left intact 2 optic disc diameters around fovea) Takahashi et al. [46 ] 34 degenerative LMH (of which 10 had high myopia) 30 (12–82) 67.6% phaco-vit Initial VA 0.31 Final VA 0.1 47% gained 2 lines 53% stable VA 0% lost 2 lines 59% recovery of ERM 47% recovery of IS/OS line Embedding of LHEP into the retinal cleavage of the LMH