Assessment of Idiopathic Macular Hole Surgery by Heidelberg Retina Tomograph.

Seong, Min Cheol; Yoo, Jin Seong; Kim, Min Ho; Huh, Warne

Original Article

Journal of the Korean Ophthalmological Society 2000;41(3):701-707.
Published online March 1, 2000.

Assessment of Idiopathic Macular Hole Surgery by Heidelberg Retina Tomograph.

Min Cheol Seong, Jin Seong Yoo, Min Ho Kim, Warne Huh

Department of Ophthalmology, Kangnam St.Mary's Hospital, College of Medicine, The Catholic Univesity of Korea.

Heidelberg Retina Tomograph 를 이용한 특발성 황반원공 수술의 평가

성민철(Min Cheol Seong),김민호(Min Ho Kim),유진성(Jin Seong Yoo),허원(Warne Huh)

Abstract

For the evaluation of preoperative and postoperative factors effecting the results of vitrectomy as a treatment of full thickness macular hole, we estimated the three dimensional morphology of macular hole using the HRT [Heidelberg retina tomography]and investigated every patient's history and operation method. Pars plana vitrectomy, epiretinal and internal limiting membrane removal, and C3F8 injection were performed in 19 patients[19 eyes]with full thickness macular holes. Anatomic success was seen in 12 eyes[63.2%]and was statistically related with preoperative hole area, volume and depth. Functional success was seen in 6 eyes[31.6%]and was significantly related with preoperative hole volume and depth, marginal detachment area and volume, hole diameter and hole area. In addition, anatomic success was statistically related with internal limiting membrane removal[p<0.01], stage and preoperative visual acuity [p<0.05]. Functional success was significantly related with preoperative visual acuity, internal limiting membrane removal[p<0.01], stage and duration of the disease[p<0.05]. We conclude that preoperative HRT is a useful method in deciding the operative indications and also in predicting the outcomes.

Key Words: Full thickness macular hole;HRT;Anatomic success;Functional success