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Vitrectomy for stage 1 macular holes identified by optical coherence tomography.
- Source :
-
Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye [Ophthalmic Surg Lasers Imaging] 2006 Jan-Feb; Vol. 37 (1), pp. 42-6. - Publication Year :
- 2006
-
Abstract
- Background and Objective: To describe a series of patients with decreased vision secondary to stage 1 macular hole confirmed by optical coherence tomography (OCT) that failed to spontaneously resolve with observation. To determine whether current surgical techniques can prevent progression to a full-thickness macular hole and lead to improved visual acuity.<br />Patients and Methods: Retrospective, comparative case series presenting patient demographics, duration of symptoms, timing of surgery, preoperative and postoperative vision, and clinical outcome based on examination and OCT.<br />Results: Five eyes of five patients with stage 1 macular holes identified on OCT required surgical repair. All eyes showed anatomic closure and lack of progression to a full-thickness hole confirmed by OCT after one procedure. Mean preoperative visual acuity was 20/102 (range, 20/50 to 20/200) and mean postoperative visual acuity was 20/52 (range, 20/25 to 20/200). Average improvement for all five eyes was 3 Snellen lines, with four of the five (80%) improving 5 lines each.<br />Conclusion: In symptomatic eyes with stage 1 macular holes that fail to spontaneously resolve with observation, vitrectomy with intraocular gas tamponade may prevent progression to a full-thickness hole and lead to improved visual acuity.
Details
- Language :
- English
- ISSN :
- 1542-8877
- Volume :
- 37
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
- Publication Type :
- Academic Journal
- Accession number :
- 16468550