Retinal thickness in eyes with idiopathic macular hole after vitrectomy with internal limiting membrane peeling.
OBJECTIVE
To compare the thickness of each retinal layer in the parafoveal and perifoveal regions of eyes after successful closure of a macular hole (MH) by pars plana vitrectomy with internal limiting membrane (ILM) peeling to the corresponding areas of the normal fellow eyes.


METHODS
Twenty-two eyes of 22 patients with an idiopathic MH who underwent PPV with ILM peeling at the Matsumoto Dental University Hospital were studied. The retinal thickness was measured manually with the volume scan mode of the Spectralis HRA + OCT (Heidelberg Engineering, Germany).


RESULTS
The average postoperative parafoveal thickness of the temporal sector was 314.8 μm, and that of the corresponding area of the fellow eyes was 325.0 μm (P = 0.01). The parafoveal thickness of the nasal sector was 360.7 μm, and that of the fellow eyes was 339.6 μm (P < 0.0001). Changes in the inner retinal layer thicknesses contributed to the decreased temporal and increased nasal sectors. The perifoveal retinal thickness was significantly increased in all sectors after PPV, probably due to an increase in the outer nuclear layer thickness.


CONCLUSIONS
PPV with ILM peeling for MHs can cause microstructural changes in wide areas of the macula region, suggesting a loss of longitudinal support of the Müller cells.
Department of Ophthalmology, Matsumoto Dental University, 1780 Gobara, Hirooka, Shiojiri, 399-0781, Nagano, Japan. ohta@po.mdu.ac.jp
Kouichi
K
Ohta
Atsuko
A
Sato
Emi
E
Fukui
D000368:Aged; D001485:Basement Membrane / Q000601:surgery*; D058450:Endotamponade; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D018918:Phacoemulsification; D016684:Prone Position; D012160:Retina / Q000473:pathology*; D012167:Retinal Perforations / Q000601:surgery*; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D014821:Vitrectomy; D057586:Vitreoretinal Surgery
D013459:Sulfur Hexafluoride