Prospective studies demonstrate macular hole management aids visual outcomes in children, suggesting tailored surgery may improve success rates.
An etiology-informed, size/edge/traction-guided approach was associated with meaningful-though limited-visual improvement and high closure. These practice-informing data support early recognition, tailored surgery, and proactive complication management; a decision aid is provided. Prospective studies are needed to standardize thresholds and validate outcomes.
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Yuan et al. (2026) studied this question.
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