Reorganization of Photoreceptor Layer on Optical Coherence Tomography Concurrent with Visual Improvement after Macular Hole Surgery.
10.3341/kjo.2008.22.2.137
- Author:
Ji Eun LEE
1
;
Seung Uk LEE
;
Seung Youn JEA
;
Hee Young CHOI
;
Boo Sup OUM
Author Information
1. Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. jlee@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Macular hole;
Optical coherence tomography;
Photoreceptor reorganization
- MeSH:
Adult;
Aged;
Basement Membrane/surgery;
Female;
Humans;
Middle Aged;
Photoreceptor Cells, Vertebrate/*physiology;
Regeneration/*physiology;
Retinal Perforations/*surgery;
Tomography, Optical Coherence;
Visual Acuity/*physiology;
Vitrectomy
- From:Korean Journal of Ophthalmology
2008;22(2):137-142
- CountryRepublic of Korea
- Language:English
-
Abstract:
To report three cases in which reorganization of the photoreceptor layer on optical coherence tomography (OCT) was concurrent with long-term visual recovery after macular hole surgery. Serial OCT scans of three eyes in which visual acuity continued to improve for 1 or more years after successful macular hole surgery were reviewed. Case 1. At postoperative four weeks, visual acuity was 20/100 with disorganized photoreceptor layer on OCT. The photoreceptor layer had been reorganized and visual acuity had improved to 20/25 by 1 year. Case 2. Two weeks after the operation, visual acuity was 20/125 and disorganization of the photoreceptor layer was noted. Visual acuity improved to 20/50 by four months. The photoreceptor layer had been partly reorganized and had appearance of a broken line. Visual acuity had improved to 20/40 and the photoreceptor layer had been reorganized further with a residual defect on OCT by 15 months. Case 3. Visual acuity at two weeks was 20/100. OCT revealed disorganization of the photoreceptor layer. Six months after the operation, the partly reorganized photoreceptor layer appeared as a broken line and visual acuity had reached 20/80. Visual acuity had improved further to 20/40 by 1 year, concurrent with improved organization of the photoreceptor layer. The reorganization of the photoreceptor layer plays a part in long-term improvement of visual acuity after macular hole surgery.
