J Korean Ophthalmol Soc.  2011 Oct;52(10):1195-1201. 10.3341/jkos.2011.52.10.1195.

Long-Term Visual Outcomes and Prognostic Factors for Successful Idiopathic Macular Hole

Affiliations
  • 1Sungmo Eye Hospital, Busan, Korea. heesyoon@dreamwiz.com

Abstract

PURPOSE
To investigate long-term visual outcomes and prognostic factors to predict visual outcomes in patients with anatomic success after macular hole surgery.
METHODS
Medical records of 36 eyes with successfully repaired stage 3 or 4 idiopathic macular hole and with at least 24 months of follow-up were reviewed. Hole height, stage of macular hole, base diameter, minimum diameter, hole form factor, macular hole index, and hole closure type were measured or calculated, and the correlations of visual outcomes with variables of preoperative optical coherence tomography (OCT) were analyzed.
RESULTS
The patients were classified into 3 groups according to the time period necessary to achieve the best corrective visual acuity. The visual acuity of 16 eyes (44.4%) recovered in a mean of 6 months, 13 eyes (36.1%) improved slowly and continuously, and 7 eyes had no improvement despite successful anatomical closure. There were no statistical differences in hole height, base diameter, minimum diameter, hole form factor, macular hole index, or closure type among the 3 groups.
CONCLUSIONS
The improvement in visual acuity after successful macular hole surgery persisted at the 24-month follow-up and after. There were no correlations between delayed visual acuity after macular hole surgery and minimum diameter, base diameter, hole height, hole form factor, macular hole index, or closure type.

Keyword

Macular hole; Optical coherence tomography

MeSH Terms

Eye
Follow-Up Studies
Humans
Medical Records
Retinal Perforations
Tomography, Optical Coherence
Visual Acuity

Figure

  • Figure 1. Image of macular hole on optical coherence tomography. (A) minimum diameter, (B) left arm length, (C) right arm length, (D) base diameter, (E) hole height. Hole form factor = (B + C)/D. Macular hole index = E/D.

  • Figure 2. Three types of postoperative visual acuity improvement after successful macular hole surgery. Early improvement group (16 eyes) had gained postoperative best corrective visual acuity at a mean 5.5 months after operation. The visual acuity of the late improvement group (13 eyes) had continued to recover up to 12th months after operation. However, 7 eyes showed no visual improvement during follow-up.


Cited by  1 articles

A Case of Failed Macular Hole Closure Associated with an Entrapped Microbubble in the Hole
Jinhyun Kim, Gwon Hwi Lee, Seung Woo Lee
J Korean Ophthalmol Soc. 2016;57(5):853-856.    doi: 10.3341/jkos.2016.57.5.853.


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