What Africa Taught Me About Vitreoretinal Surgery: Part Two

Macular hole patients in Africa often present late with advanced disease, showing unique surgical responses compared to other demographics. A study revealed that 54% of Black African patients had large macular holes averaging 500 microns. Factors such as stronger vitreoretinal adhesion and a more adherent internal limiting membrane (ILM) contribute to the distinctive characteristics of African eyes. The formation of eccentric macular holes (EMHs) in temporal regions was noted, prompting a reevaluation of surgical techniques to optimize patient outcomes.

About the Author(s)

Michael Mikhail

Dr Michael Mikhail MBChB, FRCOphth Consultant Ophthalmologist and Vitreoretinal Surgeon, Kabgayi Eye Unit, Rwanda Senior Lecturer, School of Medicine and Pharmacy, University of Rwanda, Rwanda

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