Document Detail

Visual and anatomical results of surgery for long standing macular holes.
MedLine Citation:
PMID:  10655189     Owner:  NLM     Status:  MEDLINE    
AIMS: To determine the visual and anatomical outcome of surgery for long standing idiopathic macular holes. METHODS: A retrospective review of 24 eyes of all 22 patients who underwent surgery for idiopathic full thickness macular holes (FTMH) symptomatic for between 1 and 3 years. Postoperative follow up was for 6 months. Preoperative and postoperative visual acuities were recorded as well as the presence of anatomical closure of the hole. RESULTS: The mean duration of symptoms was 18.21 (SD 5.42) months). Anatomical closure of the FTMH was achieved in 17 (70.8%) of the eyes at 6 months. The logMAR acuity of the group where closure was achieved improved by a mean of 0.31, equivalent to a change of Snellen acuity from 6/60 to 6/29. Where the hole remained open the acuity deteriorated by a mean logMAR of 0.11 lines, equivalent to a change of Snellen acuity from 6/60 to 5/60. Anatomical closure of the hole was associated with a significantly improved acuity over non-closure (p<0.001). The degree of visual improvement was independent of the preoperative visual acuity (Spearman correlation coefficient 0.03, p=0.888), though preoperative acuity was related to the final acuity (Spearman correlation coefficient 0.701, p<0.001). Over the study period, six patients required cataract surgery, one patient developed secondary glaucoma, and one a retinal detachment. CONCLUSIONS: Vitrectomy with intraocular gas tamponade and postoperative posturing is a well tolerated and effective intervention for long standing macular holes. Anatomical closure of the macular hole is associated with a significant improvement in visual acuity.
R A Scott; E Ezra; J F West; Z J Gregor
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  84     ISSN:  0007-1161     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-03-27     Completed Date:  2000-03-27     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  150-3     Citation Subset:  IM    
Moorfields Eye Hospital, City Road, London EC1V 2PD.
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MeSH Terms
Aged, 80 and over
Macular Degeneration / physiopathology,  surgery*
Middle Aged
Retrospective Studies
Time Factors
Treatment Outcome
Visual Acuity / physiology
Vitrectomy / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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