Analysis of vitrectomy for idiopathic macular hole by optical coherence tomography.
OBJECTIVE
To evaluate foveal structure after vitrectomy for idiopathic macular hole in relation to postoperative visual outcome.


METHODS
Optical coherence tomography was performed postoperatively to assess retinal thickness at the foveal center in patients who underwent vitrectomy, posterior hyaloid membrane removal, and perfluoropropane gas tamponade for idiopathic macular hole. Thirty-seven eyes of 36 patients documented to have achieved anatomic hole closure by optical coherence tomography were included in the study.


RESULTS
Increased visual acuity significantly correlated with greater foveal thickness assessed at a median of 5 months postoperatively (Spearman analysis; R = .453, P = .005).


CONCLUSIONS
Visual outcome after anatomic closure of macular holes by vitrectomy is closely related to the structure of the center of the fovea postoperatively.
Mikajiri
K
K
Department of Ophthalmology, Osaka University Medical School, Suita, Japan.
Okada
A A
AA
Ohji
M
M
Morimoto
T
T
Sato
S
S
Hayashi
A
A
Kusaka
S
S
Saito
Y
Y
Tano
Y
Y
D000368:Aged; D005260:Female; D005584:Fovea Centralis / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D055095:Optics and Photonics; D011184:Postoperative Period; D012160:Retina / Q000473:pathology; D012167:Retinal Perforations / Q000601:surgery*; D014054:Tomography; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy