Purpose. To evaluate the outcome of combined vitrectomy with phacoemulsification without postoperative face-down positioning\r\nfor idiopathic macular holes (MHs). Design. Retrospective, observational case series. Participants. Forty-two eyes of 42 patients\r\nwith MH.Methods.We studied 42 eyes of 42 cases followed up for 6 months postoperatively.MH closure rate and preoperative and\r\npostoperative visual acuity (VA) were evaluated. Main Outcome Measures. MH closure rate and VA were evaluated after combined\r\nvitrectomy with phacoemulsification without postoperative face-down positioning. Results. Of the 42 holes, 40 (95.2%) were initially\r\nclosed, and the final closure rate was 100%. Compared with preoperative VA, the mean VA was significantly improved at 1\r\nmonth and the improvement was maintained for at least 6 months postoperatively. Conclusions. Combined vitrectomy with phacoemulsification\r\nwithout postoperative face-down positioning produced favorable anatomic and functional results for MH repair.\r\nImprovement in VA can be expected for up to at least 6 months postoperatively
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