Visual acuity as a prognostic indicator in stage I macular holes. The Vitrectomy for Prevention of Macular Hole Study Group.
OBJECTIVE
To evaluate the role of initial visual acuity as a factor for progressive loss of vision or progression to a full-thickness macular hole in eyes with stage I macular holes (tractional foveal detachment without dehiscence). The study population included 35 patients with stage I macular holes with best-corrected visual acuity of 20/25 to 20/80 in one eye, and a full-thickness macular hole in the fellow eye.


CONCLUSIONS
Eyes with stage I macular holes with best corrected visual acuity between 20/50 and 20/80 had a 66% (ten of 15 eyes) rate of progression to full-thickness macular hole, whereas eyes with best-corrected visual acuity of between 20/25 and 20/40 had a 30% (six of 20 eyes) risk of progression to full-thickness macular hole. The risk of progression to macular hole is significantly higher in eyes with stage I macular holes with best-corrected visual acuity of 20/50 or worse (P = .03).
Kokame
G T
GT
Retina Center at Pali Momi, Aiea, HI 96701, USA.
de Bustros
S
S
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D012167:Retinal Perforations / Q000145:classification / Q000503:physiopathology* / Q000517:prevention & control / Q000601:surgery; D014792:Visual Acuity; D014821:Vitrectomy