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Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes.
Am J Ophthalmol. 2003 Sep; 136(3):477-81.AJ

Abstract

PURPOSE

Macular holes cause retinal detachments in highly myopic eyes. Because degenerative macular changes often coexist, biomicroscopic evaluation of macular hole status after retinal reattachment is sometimes difficult. We studied macular holes with retinal detachment after vitrectomy using optical coherence tomography and evaluated the anatomic status of the hole and factors associated with anatomic success.

DESIGN

Retrospective, nonrandomized, comparative study.

PATIENTS

Sixteen eyes that underwent vitrectomy for retinal detachment associated with a macular hole were included. Internal limiting membrane peeling with indocyanine green was performed in 14 eyes; the epiretinal membrane was peeled with a diamond-dusted membrane scraper alone in two eyes. All retinas reattached postoperatively. The follow-up period at the optical coherence tomography examination was at least 6 months.

METHODS

Optical coherence tomography was performed vertically and horizontally, and the presence of a persistent macular hole was determined. Other information was obtained from patient records.

RESULTS

The macular holes closed in seven of 16 eyes (44%). Age, sex, axial length, preoperative best-corrected visual acuity, duration of symptoms, preoperative refractive error, and the preoperative area of the retinal detachment were not significantly correlated with hole closure. Improved postoperative best-corrected visual acuity (P <.05) was significantly associated with macular hole closure, and more frequent visual improvement (P =.06) was of borderline significance.

CONCLUSIONS

The success rate was lower than those obtained in eyes without myopia or in myopic macular holes without retinal detachments. Macular hole closure may predict improved visual outcome for patients with retinal detachment and macular holes. Optical coherence tomography detects persistent macular holes in highly myopic eyes with retinal detachment.

Authors+Show Affiliations

Department of Ophthalmology, Osaka University Medical School, Suita, Osaka, Japan. ikuno@ophthal.med.osaka-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

12967801

Citation

Ikuno, Yasushi, et al. "Optical Coherence Tomographic Findings of Macular Holes and Retinal Detachment After Vitrectomy in Highly Myopic Eyes." American Journal of Ophthalmology, vol. 136, no. 3, 2003, pp. 477-81.
Ikuno Y, Sayanagi K, Oshima T, et al. Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes. Am J Ophthalmol. 2003;136(3):477-81.
Ikuno, Y., Sayanagi, K., Oshima, T., Gomi, F., Kusaka, S., Kamei, M., Ohji, M., Fujikado, T., & Tano, Y. (2003). Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes. American Journal of Ophthalmology, 136(3), 477-81.
Ikuno Y, et al. Optical Coherence Tomographic Findings of Macular Holes and Retinal Detachment After Vitrectomy in Highly Myopic Eyes. Am J Ophthalmol. 2003;136(3):477-81. PubMed PMID: 12967801.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes. AU - Ikuno,Yasushi, AU - Sayanagi,Kaori, AU - Oshima,Tetsuro, AU - Gomi,Fumi, AU - Kusaka,Shunji, AU - Kamei,Motohiro, AU - Ohji,Masahito, AU - Fujikado,Takashi, AU - Tano,Yasuo, PY - 2003/9/12/pubmed PY - 2003/9/23/medline PY - 2003/9/12/entrez SP - 477 EP - 81 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 136 IS - 3 N2 - PURPOSE: Macular holes cause retinal detachments in highly myopic eyes. Because degenerative macular changes often coexist, biomicroscopic evaluation of macular hole status after retinal reattachment is sometimes difficult. We studied macular holes with retinal detachment after vitrectomy using optical coherence tomography and evaluated the anatomic status of the hole and factors associated with anatomic success. DESIGN: Retrospective, nonrandomized, comparative study. PATIENTS: Sixteen eyes that underwent vitrectomy for retinal detachment associated with a macular hole were included. Internal limiting membrane peeling with indocyanine green was performed in 14 eyes; the epiretinal membrane was peeled with a diamond-dusted membrane scraper alone in two eyes. All retinas reattached postoperatively. The follow-up period at the optical coherence tomography examination was at least 6 months. METHODS: Optical coherence tomography was performed vertically and horizontally, and the presence of a persistent macular hole was determined. Other information was obtained from patient records. RESULTS: The macular holes closed in seven of 16 eyes (44%). Age, sex, axial length, preoperative best-corrected visual acuity, duration of symptoms, preoperative refractive error, and the preoperative area of the retinal detachment were not significantly correlated with hole closure. Improved postoperative best-corrected visual acuity (P <.05) was significantly associated with macular hole closure, and more frequent visual improvement (P =.06) was of borderline significance. CONCLUSIONS: The success rate was lower than those obtained in eyes without myopia or in myopic macular holes without retinal detachments. Macular hole closure may predict improved visual outcome for patients with retinal detachment and macular holes. Optical coherence tomography detects persistent macular holes in highly myopic eyes with retinal detachment. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/12967801/Optical_coherence_tomographic_findings_of_macular_holes_and_retinal_detachment_after_vitrectomy_in_highly_myopic_eyes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002939403002691 DB - PRIME DP - Unbound Medicine ER -