Factors Related to Initial Success in Macular Hole Surgery

Kumagai, Kazuyuki; Ogino, Nobuchika; Demizu, Seiji; Atsumi, Kazunari; Kurihara, Hideyuki; Iwaki, Masaya; Ishigooka, Hitoshi; Tachi, Naoko

doi:10.1016/s0021-5155(01)00307-0

Cited by 7 publications

(7 citation statements)

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“…The correlation of preoperative macular hole size with anatomical success and visual improvement has been reported in many studies in the literature. 13 , 17 – 20 There have been several studies with different types of macular hole measurements like macular hole index, hole form factor, diameter hole index, tractional hole index and macular hole closure index. 13 , 21 – 23 We measured horizontal hole size as the MLD and BHD, and vertical hole size as HH.…”

Section: Discussionmentioning

confidence: 99%

Prognostic factors affecting macular hole closure types

et al. 2021

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Purpose: In this study, we aimed to evaluate the relationship between macular hole closure types assessed by optical coherence tomography (OCT) and the preoperative prognostic factors. Materials and methods: In total, 183 patients who underwent pars plana vitrectomy and internal limiting membrane peeling for idiopathic macular hole between August 2014 and August 2019 were reviewed retrospectively. The preoperative measurements of the macular hole including minimum linear diameter (MLD), basal hole diameter (BHD) and hole height (HH) were measured on OCT images. The patients were divided into two closure types on the basis of postoperative OCT findings (type 1 closure: retinal edges were flat and there was no defect of the neurosensory retina on the fovea; type 2 closure: retinal edges were flat and there was a defect of the neurosensory retina on the fovea). The difference of prognostic factors such as age; duration of symptoms; preoperative best-corrected visual acuity (BCVA); preoperative macular hole measurements, including MLD, BHD and HH; and rate of reopening between two types were statistically analysed. Results: The mean age of patients was 66.33 ± 8.09 years (range: 48–88 years). According to OCT imaging, 117 eyes (63.9%) were classified into the type 1 closure group, and 66 eyes (36.1%) were classified into the type 2 closure group. There were no significant differences between two groups in age, duration of symptoms and preoperative BCVA ( p = 0.694, p = 0.092 and p = 0.15). MLD and BHD were significantly larger, and reopening was significantly more common in type 2 group ( p < 0.05, p = 0.04 and p < 0.005); however, there was no significant difference in HH between two groups ( p = 0.239). Conclusion: Preoperative horizontal measurements of macular hole may help to determine postoperative visual expectations and anatomical success, and predict the possibility of reopening.

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Section: Discussionmentioning

confidence: 99%

Prognostic factors affecting macular hole closure types

et al. 2021

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“…Previous studies reported on relationships between initial success in macular hole surgery and factors such as symptom duration, the size or stage of the macular holes, or patient age or gender. [12][13][14][15][16][17][18] However, findings are not consistent. In our study, greater axial length, higher refractive error, and the presence of posterior staphyloma were significantly associated with initial failure.…”

Section: Discussionmentioning

confidence: 99%

“…11 Shorter duration of symptoms, earlier stage or smaller size of the macular hole, better preoperative visual acuity, younger patient age, and male patient gender have been reported to be significantly associated with better surgical outcomes. [7][8][9][12][13][14][15][16][17][18] However, consensus is lacking that high myopia/longer axial length is related to worse outcomes of macular hole surgery. [19][20][21][22] Patel, et al 19 reported a relatively low (60%) closure rate for macular holes in highly myopic eyes, but in case-control studies, Sulkes, et al 20 and Kobayashi, et al 21 found no association between axial length and anatomical success of surgery.…”

Section: Introductionmentioning

confidence: 99%

Axial Length and Outcomes of Macular Hole Surgery Assessed by Spectral-Domain Optical Coherence Tomography

Suda

Hangai

Yoshimura

2011

American Journal of Ophthalmology

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“…12,13 Macular hole closure can be adversely influenced by duration, size and stage of the macular hole. 11,14,15 Patients with large and chronic holes were accordingly excluded from our study. We did not find any significant differences in the size…”

Section: Discussionmentioning

confidence: 99%