Treatment options for full thickness macular holes

Full Thickness Macular Hole; Should it be Handled Subacutely?

Not applicable Interventional Rigshospitalet, Denmark · NCT05828251

This study is testing two different surgery methods for treating full thickness macular holes to see which one helps people see better with fewer problems.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment56 (estimated)
Ages18 Years and up
SexAll
SponsorRigshospitalet, Denmark Academic / other
Locations1 site (Glostrup Municipality, Copenhagen)
Trial IDNCT05828251 on ClinicalTrials.gov

What this trial studies

This study investigates the management of full thickness macular holes (FTMH), a condition that leads to central vision loss. It compares the outcomes of sequential cataract surgery followed by vitrectomy against a combined phaco-vitrectomy approach. The study aims to determine the optimal timing and method for surgical intervention to improve visual outcomes while minimizing complications. Patients with varying durations of symptoms will be included to assess the effectiveness of these surgical strategies.

Who should consider this trial

Good fit: Ideal candidates are adults over 18 with idiopathic full thickness macular holes and specific symptom durations.

Not a fit: Patients with high myopia, traumatic macular holes, or prior ocular surgeries may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance visual recovery and reduce complications for patients with full thickness macular holes.

How similar studies have performed: Previous studies have shown varying success with combined surgical approaches for similar conditions, but this specific comparison is novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Idiopathic full thickness macular hole
* Duration of symptoms of \<30 days for Group 1 and 2
* Duration of symptoms of 3-12 months for Group 3
* FTMH size \<400µm
* \>18 years
* Able to give informed consent
* Compliance for postoperative positioning

Exclusion Criteria:

* High myopia (≤-3)
* Traumatic macular hole
* Prior ocular surgery, including cataract surgery
* Other ocular diseases compromising the visual acuity (i.e., AMD, diabetic retinopathy, previous vein occlusion)
* Posterior vitreous detachment (Weiss ring)

Where this trial is running

Glostrup Municipality, Copenhagen

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Full Thickness Macular HolePhakoVitrectomyPhako-vitrectomyFTMH
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.