OBJECTIVE: The aim of this work is to evaluate the preoperative and postoperative spectral domain optical coherence tomography (SD-OCT) findings as predictors of visual acuity for macular hole (MH) surgery. METHODS: Fifty eyes of 46 patients diagnosed with MH and that had undergone 25-g vitrectomy with internal limiting membrane peeling were included in this retrospective study. A complete clinical examination and SD-OCT were performed before and after surgery. Three groups were considered on the basis of the postoperative integrity of photoreceptor inner and outer segment (IS-OS) junction and the external limiting membrane (ELM): group A (11 eyes, both lines disrupted), group B (ten eyes, disrupted IS/OS line and complete ELM), and group C (29 eyes, both lines restored). RESULTS: LogMAR BCVA improved significantly after surgery from an average 0.60 ± 0.29 to 0.19 ± 0.19 (p < 0.01). No significant differences had been detected preoperatively among these groups (p≥0.18). Postoperative BCVA was significantly better in group C compared to groups A and B (p ≤ 0.01). A significant correlation was found between ELM restoration and postoperative BCVA (r = -0.63, p < 0.01), as well as between IS/OS line restoration and postoperative BCVA (r = -0.55, p < 0.01). CONCLUSIONS: Outer retina restoration seems to be the best determining factor for a good visual rehabilitation after MH surgery.
OBJECTIVE: The aim of this work is to evaluate the preoperative and postoperative spectral domain optical coherence tomography (SD-OCT) findings as predictors of visual acuity for macular hole (MH) surgery. METHODS: Fifty eyes of 46 patients diagnosed with MH and that had undergone 25-g vitrectomy with internal limiting membrane peeling were included in this retrospective study. A complete clinical examination and SD-OCT were performed before and after surgery. Three groups were considered on the basis of the postoperative integrity of photoreceptor inner and outer segment (IS-OS) junction and the external limiting membrane (ELM): group A (11 eyes, both lines disrupted), group B (ten eyes, disrupted IS/OS line and complete ELM), and group C (29 eyes, both lines restored). RESULTS: LogMAR BCVA improved significantly after surgery from an average 0.60 ± 0.29 to 0.19 ± 0.19 (p < 0.01). No significant differences had been detected preoperatively among these groups (p≥0.18). Postoperative BCVA was significantly better in group C compared to groups A and B (p ≤ 0.01). A significant correlation was found between ELM restoration and postoperative BCVA (r = -0.63, p < 0.01), as well as between IS/OS line restoration and postoperative BCVA (r = -0.55, p < 0.01). CONCLUSIONS: Outer retina restoration seems to be the best determining factor for a good visual rehabilitation after MH surgery.
Authors: Michael N Apostolopoulos; Chryssanthi N Koutsandrea; Michael N Moschos; Dimitrios A Alonistiotis; Alexis E Papaspyrou; John A Mallias; Theodora E Kyriaki; Panagiotis G Theodossiadis; George P Theodossiadis Journal: Am J Ophthalmol Date: 2002-11 Impact factor: 5.258
Authors: Tony H Ko; Andre J Witkin; James G Fujimoto; Annie Chan; Adam H Rogers; Caroline R Baumal; Joel S Schuman; Wolfgang Drexler; Elias Reichel; Jay S Duker Journal: Arch Ophthalmol Date: 2006-06
Authors: Christoph Scholda; Matthias Wirtitsch; Boris Hermann; Angelika Unterhuber; Erdem Ergun; Harald Sattmann; Tony H Ko; James G Fujimoto; Adolf F Fercher; Michael Stur; Ursula Schmidt-Erfurth; Wolfgang Drexler Journal: Retina Date: 2006 Nov-Dec Impact factor: 4.256
Authors: Kakarala V Chalam; Ravi K Murthy; Shailesh K Gupta; Vikram S Brar; Sandeep Grover Journal: Eur J Ophthalmol Date: 2010 May-Jun Impact factor: 2.597