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Prediction of postoperative visual outcome based on hole configuration by optical coherence tomography in eyes with idiopathic macular holes.
Am J Ophthalmol 2004; 138(5):709-16AJ

Abstract

PURPOSE

To evaluate whether an index based on hole configuration can be used to predict visual outcome in eyes with idiopathic macular holes.

DESIGN

Prospective interventional case series.

METHODS

Thirty-five eyes of 32 patients with idiopathic stage 2 or 3 macular hole were enrolled in this study. The best-corrected visual acuity (BCVA), cross-sectional image of the macular hole by optical coherence tomography (OCT), and retinal thickness in the central (<1000 microm), inner (1000 to 2220 microm), and outer ring areas (2220 to 3450 microm) as defined by the OCT retinal mapping program were evaluated preoperatively and at 1, 3, 6, and 12 months postoperatively. The change in retinal thickness of the inner ring area at the 6-month postoperative period was used to evaluate the degree of preoperative retinal deformation. The macular hole index (MHI) (ratio of hole height to base diameter of hole) was calculated and correlated with minimum diameter of hole, base diameter of hole, the postoperative decrease in macular thickness, and the postoperative BCVA. The postoperative BCVA was further evaluated in two patient-matched groups.

RESULTS

Retinal thickness values in the inner ring area were decreased at the 1-month postoperative period. MHI significantly correlated with the postoperative decrease in macular thickness in the inner ring area at 6 months (correlation coefficient = -0.632, P = .030, Spearman analysis) and with the postoperative BCVA (P = .013, multiple regression analysis). Postoperative BCVA in the MHI >/=0.5 group was better than that in the MHI <0.5 group (P = .032, Mann-Whitney test).

CONCLUSIONS

The MHI is a ratio easily calculated from OCT transverse images of the macular area. The MHI represents the preoperative configuration of a macular hole and is a prognostic factor for visual outcome.

Authors+Show Affiliations

Department of Organ Therapeutics, Division of Ophthalmology, Kobe University Graduate School of Medicine, Kobe, Japan. kusu@med.kobe-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)

Journal Article

Language

eng

PubMed ID

15531303

Citation

Kusuhara, Sentaro, et al. "Prediction of Postoperative Visual Outcome Based On Hole Configuration By Optical Coherence Tomography in Eyes With Idiopathic Macular Holes." American Journal of Ophthalmology, vol. 138, no. 5, 2004, pp. 709-16.
Kusuhara S, Teraoka Escaño MF, Fujii S, et al. Prediction of postoperative visual outcome based on hole configuration by optical coherence tomography in eyes with idiopathic macular holes. Am J Ophthalmol. 2004;138(5):709-16.
Kusuhara, S., Teraoka Escaño, M. F., Fujii, S., Nakanishi, Y., Tamura, Y., Nagai, A., ... Negi, A. (2004). Prediction of postoperative visual outcome based on hole configuration by optical coherence tomography in eyes with idiopathic macular holes. American Journal of Ophthalmology, 138(5), pp. 709-16.
Kusuhara S, et al. Prediction of Postoperative Visual Outcome Based On Hole Configuration By Optical Coherence Tomography in Eyes With Idiopathic Macular Holes. Am J Ophthalmol. 2004;138(5):709-16. PubMed PMID: 15531303.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prediction of postoperative visual outcome based on hole configuration by optical coherence tomography in eyes with idiopathic macular holes. AU - Kusuhara,Sentaro, AU - Teraoka Escaño,Michael F, AU - Fujii,Shigeki, AU - Nakanishi,Yoriko, AU - Tamura,Yasushi, AU - Nagai,Azusa, AU - Yamamoto,Hiroyuki, AU - Tsukahara,Yasutomo, AU - Negi,Akira, PY - 2004/04/27/accepted PY - 2004/11/9/pubmed PY - 2004/12/16/medline PY - 2004/11/9/entrez SP - 709 EP - 16 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 138 IS - 5 N2 - PURPOSE: To evaluate whether an index based on hole configuration can be used to predict visual outcome in eyes with idiopathic macular holes. DESIGN: Prospective interventional case series. METHODS: Thirty-five eyes of 32 patients with idiopathic stage 2 or 3 macular hole were enrolled in this study. The best-corrected visual acuity (BCVA), cross-sectional image of the macular hole by optical coherence tomography (OCT), and retinal thickness in the central (<1000 microm), inner (1000 to 2220 microm), and outer ring areas (2220 to 3450 microm) as defined by the OCT retinal mapping program were evaluated preoperatively and at 1, 3, 6, and 12 months postoperatively. The change in retinal thickness of the inner ring area at the 6-month postoperative period was used to evaluate the degree of preoperative retinal deformation. The macular hole index (MHI) (ratio of hole height to base diameter of hole) was calculated and correlated with minimum diameter of hole, base diameter of hole, the postoperative decrease in macular thickness, and the postoperative BCVA. The postoperative BCVA was further evaluated in two patient-matched groups. RESULTS: Retinal thickness values in the inner ring area were decreased at the 1-month postoperative period. MHI significantly correlated with the postoperative decrease in macular thickness in the inner ring area at 6 months (correlation coefficient = -0.632, P = .030, Spearman analysis) and with the postoperative BCVA (P = .013, multiple regression analysis). Postoperative BCVA in the MHI >/=0.5 group was better than that in the MHI <0.5 group (P = .032, Mann-Whitney test). CONCLUSIONS: The MHI is a ratio easily calculated from OCT transverse images of the macular area. The MHI represents the preoperative configuration of a macular hole and is a prognostic factor for visual outcome. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/15531303/Prediction_of_postoperative_visual_outcome_based_on_hole_configuration_by_optical_coherence_tomography_in_eyes_with_idiopathic_macular_holes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S000293940400501X DB - PRIME DP - Unbound Medicine ER -