Prognostic Factors in Idiopathic Macular Hole Surgery.
- Author:
Seok Jun KANG
1
;
Man Seong SEO
Author Information
1. Department of Ophthalmology, Chonnam National University Medical School.
- Publication Type:Original Article
- Keywords:
Anatomical and functional success;
Macular hole
- MeSH:
Epiretinal Membrane;
Humans;
Retinal Perforations*;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2000;41(8):1746-1752
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We evaluated the relationship between the surgical success of idiopathic macular hole and sex, age, duration, epiretinal membrane, preoperative visual acuity, size of the hole, and surgical method. Of all 25 eyes in 23 patients, 14 eyes(56%)showed anatomical success(disappearance of the hole), and 17 eyes(68%)functional success(the final visual acuity of 0.15 or more with more than one line improvement). There were statistically significant differences of anatomical(p=0.001)and functional success(p=0.020)between the Group I where its macular hole was less than one-fourth of the optic disc in size and the other group, and anatomical success(p=0.039)between the group with the age of less than 70 years(Group A)and the other group. In Group I, anatomical and functional success were both 92%(11 eyes/12 eyes). In Group A, anatomical and functional success were 72%(13 eyes/18 eyes)and 77%(14 eyes/18 eyes), respectively, and there was statistically significant relationship between size of the hole and anatomical success(p=0.024), and difference of anatomical success between the group with duration of less than 6 months and the other group(p=0.023). Good surgical result may be expected in the idiopathic macular hole of the age of less than 70 years with about 350 micrometer or less in size and duration of less than 6 months.
