Variables That Influence Visual Acuity After Macular Hole Surgery

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

doi:10.1016/s0021-5155(00)00321-x

Cited by 8 publications

(8 citation statements)

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“…Many studies reported that shorter duration of symptoms is correlated with better visual acuity. 6,7,[17][18][19][20] We found no correlation between visual acuity and the duration of symptoms in both types of closure. Kang and colleagues 6 also reported no correlation between visual acuity and duration of symptoms in their study.…”

Section: Discussioncontrasting

confidence: 56%

“…There have been different results about the correlation between preoperative and postoperative visual acuity in macular hole cases in the literature. 2 , 6 , 17 Kang and colleagues 6 found no correlation between preoperative and postoperative visual acuity. In contrary, we found a moderate correlation between preoperative and postoperative visual acuity in both types ( r = 0.397 in type 1 group, r = 0.345 in type 2 group).…”

Section: Discussionmentioning

confidence: 97%

“…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%

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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: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Prognostic factors affecting macular hole closure types

et al. 2021

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“…This is also true for many other macular disorders. [31][32][33] The preoperative axial length was also significantly correlated with the final BCVA in both the univariate and multiple regression analyses, and longer axial lengths were associated with poorer visual outcome.…”

Section: Discussionmentioning

confidence: 88%

Factors Correlated With Postoperative Visual Acuity After Vitrectomy and Internal Limiting Membrane Peeling for Myopic Foveoschisis

Kumagai¹,

Furukawa²,

Ogino³

et al. 2010

Retina

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“…Foveal thickness was not measured in this study because foveal thickness has shown only moderate correlation with visual acuity in several previous studies with larger patient numbers. 13,17,20,35,36…”

Section: Methodsmentioning

confidence: 99%