The Effect of Pre-and Intraoperative Factors Including Marginal Fibrosis On Result of Macular Hole Surgery.

Choi, Jae Ho; You, Yong Sung; Kwon, Oh Woong

Original Article

Journal of the Korean Ophthalmological Society 2002;43(7):1192-1198.
Published online July 1, 2002.

The Effect of Pre-and Intraoperative Factors Including Marginal Fibrosis On Result of Macular Hole Surgery.

Jae Ho Choi, Yong Sung You, Oh Woong Kwon

¹The Institute of Vision Research, Korea.
²Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. owkon0301@yumc.yonsei.ac.kr

경계부섬유화를 포함한 술 전 및 술 중 요인이 황반원공 수술결과에 미치는 영향

최재호 ( Jae Ho Choi ) , 유용성 ( Yong Sung You ) , 권오웅 ( Oh Woong Kwon )

Abstract

PURPOSE
To evaluate the pre-operative and the intra-operative factors including marginal fibrosis affecting the result of vitrectomy for macular hole. METHODS: The medical records of the patient who had been operated for idiopathic full-thickness macular hole from January 1997 to July 2000 were investigated retrospectively. RESULTS: Hole closure, as the implication of anatomical success, was seen in 28 eyes (84.8%) at 1 month after surgery and 23 eyes (69.7%) at the end of follow-up period. And the improvement of two or more Snellen line, as the implication of functional success, was seen in 17 eyes (51.5%). The smaller size of the hole was well correlated with higher rate of anatomical success (P=0.001). And there was a good correlation of higher anatomic success rate with the lack of marginal fibrosis around the hole (P=0.001). CONCLUSIONS: There must be more efforts and investigations on proper management of marginal fibrosis, which might help to improve the result of macular hole surgery.

Key Words: Macular hole;Marginal fibrosis;Vitrectomy