Topical therapy has no impact on outcomes of later surgical macular hole repair

Previous unsuccessful topical therapy does not affect outcomes in patients who undergo surgical macular hole repair, according to a study presented at the American Society of Retina Specialists annual meeting.
Gennady Landa, MD, of New York Eye and Ear Infirmary of Mount Sinai, said that the conservative management of macular holes with triple topical therapy is effective for most patients but not all.
“Real-world data indicate that a significant percentage of macular hole patients remain unresponsive to topical medical therapy and eventually require surgical intervention,” he said.