Idiopathic macular hole: post-operative morpho-functional assessment and prognostic factors for recovery of visual acuity.
BACKGROUND
Idiopathic macular hole (MH) is a full-thickness retinal damage typical of the advanced age with a high social impact because, as it affects the macula, it produces severe loss of vision.


OBJECTIVE
This study aims to evaluate the therapeutic efficacy of surgery and to determine prognostic factors, considering how hypovision weighs on individual quality of life and on public health.


METHODS
All patients affected by MH were evaluated with an ophthalmic visit, measurement of visual acuity and Optical Coherence Tomography (OCT) documentation before surgical intervention. Surgical treatment followed and, subsequently, all the patients were examined with the same documentation at 7 days, 1 month, 3 months, 6 months and 12 months.


RESULTS
Surgical therapy, with the modern techniques available, demonstrated the efficacy of anatomical recovery and retinal function. Furthermore, the quantitative characteristics of the MH in the OCT scanning revealed an important prognostic function.
Dipartimento di Oftalmologia, Università Cattolica del Sacro Cuore, Rome, Italy. E-mail: tirelliflavio@gmail.com.
Flavio
F
Tirelli
Paola
P
Sasso
Andrea
A
Scupola
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D011182:Postoperative Care; D011187:Posture; D011379:Prognosis; D011788:Quality of Life; D020127:Recovery of Function; D012167:Retinal Perforations / Q000601:surgery*; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014787:Vision Tests; D014792:Visual Acuity / Q000502:physiology*