Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery

Aim. To evaluate the structural and functional outcomes in patients who underwent macular hole (MH) surgery in the long-term follow-up. Materials and Methods. Forty-four eyes of 40 patients (28 females and 12 males) were examined. The examination included visual acuity, optical coherence tomography,...

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Main Authors: Karolina Kaźmierczak, Joanna Stafiej, Joanna Stachura, Paweł Żuchowski, Grażyna Malukiewicz
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/3082194
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spelling doaj-58383e8b19684105a6fefdccd566c8d22020-11-24T21:28:35ZengHindawi LimitedJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/30821943082194Long-Term Anatomic and Functional Outcomes after Macular Hole SurgeryKarolina Kaźmierczak0Joanna Stafiej1Joanna Stachura2Paweł Żuchowski3Grażyna Malukiewicz4Department of Ophthalmology, Faculty of Medicine, Nicolaus Copernicus University in Toruń, Collegium Medicum, Bydgoszcz, Sklodowskiej-Curie 9, 85-094 Bydgoszcz, PolandDepartment of Ophthalmology, Faculty of Medicine, Nicolaus Copernicus University in Toruń, Collegium Medicum, Bydgoszcz, Sklodowskiej-Curie 9, 85-094 Bydgoszcz, PolandDepartment of Ophthalmology, Faculty of Medicine, Nicolaus Copernicus University in Toruń, Collegium Medicum, Bydgoszcz, Sklodowskiej-Curie 9, 85-094 Bydgoszcz, PolandClinic of Rheumatology and Connective Tissue Diseases, J. Biziel University Hospital No. 2, Bydgoszcz, PolandDepartment of Ophthalmology, Faculty of Medicine, Nicolaus Copernicus University in Toruń, Collegium Medicum, Bydgoszcz, Sklodowskiej-Curie 9, 85-094 Bydgoszcz, PolandAim. To evaluate the structural and functional outcomes in patients who underwent macular hole (MH) surgery in the long-term follow-up. Materials and Methods. Forty-four eyes of 40 patients (28 females and 12 males) were examined. The examination included visual acuity, optical coherence tomography, and colour vision testing. The same evaluation was performed in 30 fellow eyes. Results. MH closure was obtained in 42 eyes (95.45%). There was no reopening of the initially closed MHs. In long-term postoperative examination, we observed IS/OS junction defects in 28 (63.6%) eyes and ELM defects in 19 (43.2%) eyes. We found that the IS/OS junction defects correlated with the diameter of the MH (p=0.016), whereas ELM defects correlated with both the diameter of the MH (p=0.001) and duration time of the MH (p=0.008). The presence of ELM defects in OCT was the cause of inferior BCVA in long-term observation time (p=0.004). The mean BCVA before the MH surgery was 0.15. It improved significantly both in early (p<0.001) and long-term postoperative observation (p<0.005). Generally, the functional outcomes were better in eyes with short-time duration of the MH, when a smaller diameter (<400 μm) of the hole was measured and a V-shaped closure of the MH and the restoration of the ELM line on OCT were present. Pseudoprotanomaly was noted in 13 (35.1%) eyes. In the fellow eye group, mean BCVA was 0.95 (range, 0.6–1.0). In 3 eyes, we detected vitreomacular traction, and in 4 eyes, initial cataract. These conditions, as well as probably early stage of diabetes mellitus, influenced functional outcomes of studied eyes. Conclusions. The anatomic and functional outcomes after macular surgery are satisfactory and improve with time. After a successful closing of the MH, the restoration of the retina progresses at a slower pace than improvement in visual acuity.http://dx.doi.org/10.1155/2018/3082194
collection DOAJ
language English
format Article
sources DOAJ
author Karolina Kaźmierczak
Joanna Stafiej
Joanna Stachura
Paweł Żuchowski
Grażyna Malukiewicz
spellingShingle Karolina Kaźmierczak
Joanna Stafiej
Joanna Stachura
Paweł Żuchowski
Grażyna Malukiewicz
Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery
Journal of Ophthalmology
author_facet Karolina Kaźmierczak
Joanna Stafiej
Joanna Stachura
Paweł Żuchowski
Grażyna Malukiewicz
author_sort Karolina Kaźmierczak
title Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery
title_short Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery
title_full Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery
title_fullStr Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery
title_full_unstemmed Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery
title_sort long-term anatomic and functional outcomes after macular hole surgery
publisher Hindawi Limited
series Journal of Ophthalmology
issn 2090-004X
2090-0058
publishDate 2018-01-01
description Aim. To evaluate the structural and functional outcomes in patients who underwent macular hole (MH) surgery in the long-term follow-up. Materials and Methods. Forty-four eyes of 40 patients (28 females and 12 males) were examined. The examination included visual acuity, optical coherence tomography, and colour vision testing. The same evaluation was performed in 30 fellow eyes. Results. MH closure was obtained in 42 eyes (95.45%). There was no reopening of the initially closed MHs. In long-term postoperative examination, we observed IS/OS junction defects in 28 (63.6%) eyes and ELM defects in 19 (43.2%) eyes. We found that the IS/OS junction defects correlated with the diameter of the MH (p=0.016), whereas ELM defects correlated with both the diameter of the MH (p=0.001) and duration time of the MH (p=0.008). The presence of ELM defects in OCT was the cause of inferior BCVA in long-term observation time (p=0.004). The mean BCVA before the MH surgery was 0.15. It improved significantly both in early (p<0.001) and long-term postoperative observation (p<0.005). Generally, the functional outcomes were better in eyes with short-time duration of the MH, when a smaller diameter (<400 μm) of the hole was measured and a V-shaped closure of the MH and the restoration of the ELM line on OCT were present. Pseudoprotanomaly was noted in 13 (35.1%) eyes. In the fellow eye group, mean BCVA was 0.95 (range, 0.6–1.0). In 3 eyes, we detected vitreomacular traction, and in 4 eyes, initial cataract. These conditions, as well as probably early stage of diabetes mellitus, influenced functional outcomes of studied eyes. Conclusions. The anatomic and functional outcomes after macular surgery are satisfactory and improve with time. After a successful closing of the MH, the restoration of the retina progresses at a slower pace than improvement in visual acuity.
url http://dx.doi.org/10.1155/2018/3082194
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