[Results of macular hole surgery].
Macular hole surgery in 133 eyes of 128 patients resulted in anatomical success (closure and disappearance of the macular hole) in 79% (105 eyes) with the follow-up ranging from 3 to 36 months (8.1 +/- 5.5 months). The anatomical success was correlated with short estimated duration of symptoms, small size of the macular hole and lack of findings suggestive of a long-standing macular hole. Postoperative visual acuity in the anatomically successful cases was correlated with the preoperative visual acuity (positive correlation), the patient age (inverse correlation), and the estimated duration of symptoms (inverse correlation). After macular hole surgery on 63 eyes with 12 months or more in estimated duration of symptoms, 0.3 or more disc diameter in the size, 0.1 or more in preoperative visual acuity, and patient age of more than 70 years, anatomical success was obtained in 95% (60 eyes) and visual acuity of 1.0 or more in 22% (14 eyes), and 0.5 or more in 71% (45 eyes). These conditions, thus, are those indicating good anatomical and functional results.
Ogino
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Department of Ophthalmology, Aichi Medical University, Japan.
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012167:Retinal Perforations / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014792:Visual Acuity