Long-Term Visual Outcomes and Prognostic Factors for Successful Idiopathic Macular Hole.

Moon, Sang Jeong; Kang, Jae Hoon; Yoon, Hee Seong

doi:2011.52.10.1195

J Korean Ophthalmol Soc > Volume 52(10); 2011 > Article

Original Article

Journal of the Korean Ophthalmological Society 2011;52(10):1195-1201.
DOI: https://doi.org/10.3341/jkos.2011.52.10.1195 Published online October 15, 2011.

Long-Term Visual Outcomes and Prognostic Factors for Successful Idiopathic Macular Hole.

Sang Jeong Moon, Jae Hoon Kang, Hee Seong Yoon

Sungmo Eye Hospital, Busan, Korea. heesyoon@dreamwiz.com

특발성 황반원공 수술 후 장기 시력 변화와 시력 예측 인자

문상정⋅강재훈⋅윤희성

Sungmo Eye Hospital, Busan, Korea

Abstract

PURPOSE
To investigate long-term visual outcomes and prognostic factors to predict visual outcomes in patients with anatomic success after macular hole surgery. METHODS: Medical records of 36 eyes with successfully repaired stage 3 or 4 idiopathic macular hole and with at least 24 months of follow-up were reviewed. Hole height, stage of macular hole, base diameter, minimum diameter, hole form factor, macular hole index, and hole closure type were measured or calculated, and the correlations of visual outcomes with variables of preoperative optical coherence tomography (OCT) were analyzed. RESULTS: The patients were classified into 3 groups according to the time period necessary to achieve the best corrective visual acuity. The visual acuity of 16 eyes (44.4%) recovered in a mean of 6 months, 13 eyes (36.1%) improved slowly and continuously, and 7 eyes had no improvement despite successful anatomical closure. There were no statistical differences in hole height, base diameter, minimum diameter, hole form factor, macular hole index, or closure type among the 3 groups. CONCLUSIONS: The improvement in visual acuity after successful macular hole surgery persisted at the 24-month follow-up and after. There were no correlations between delayed visual acuity after macular hole surgery and minimum diameter, base diameter, hole height, hole form factor, macular hole index, or closure type.

Key Words: Macular hole;Optical coherence tomography