To determine the relationship between preoperative and postoperative characteristics and visual outcomes after successful surgery for unclosed macular hole (MH).
The medical charts of 166 eyes of 161 patients who underwent vitrectomy for a MH were reviewed. The MH was not closed in 9 eyes of 9 patients after the initial surgery. The second vitrectomy with additional internal limiting membrane (ILM) peeling and gas tamponade was performed. The preoperative and postoperative best-corrected visual acuity (BCVA), optical coherence tomographic images, MH size, duration of MH before the first operation, and area of ILM peeling were studied.
The MH was closed in all eyes after the second surgery. The BCVA significantly improved from 0.77 to 0.25 logMAR units (20/118 to 20/36, p = 0.002). The postoperative subfoveal ellipsoid zone (EZ) was distinct and continuous in 3 eyes with good visual recovery. The final BCVA was not significantly correlated with the baseline characteristics and area of ILM peeling but was correlated with the postoperative status of the EZ.
All MHs were closed and the mean postoperative visual acuity was significantly improved. The reason for poor visual recovery was the reduced microstructural recovery after the second surgery.
Eur J Ophthalmol 2017; 27(2): 231 - 234
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsAkira Hagiwara, Takayuki Baba, Tomoaki Tatsumi, Eiju Sato, Toshiyuki Oshitari, Shuichi Yamamoto
- • Accepted on 25/07/2016
- • Available online on 09/09/2016
- • Published in print on 10/03/2017
This article is available as full text PDF.
- Hagiwara, Akira [PubMed] [Google Scholar] 1
- Baba, Takayuki [PubMed] [Google Scholar] 2, * Corresponding Author (firstname.lastname@example.org)
- Tatsumi, Tomoaki [PubMed] [Google Scholar] 2
- Sato, Eiju [PubMed] [Google Scholar] 2
- Oshitari, Toshiyuki [PubMed] [Google Scholar] 2
- Yamamoto, Shuichi [PubMed] [Google Scholar] 2
Department of Ophthalmology, Teikyo University Chiba Medical Center, Chiba - Japan
Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba - Japan