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Idiopathic macular hole with extensive subretinal fluid: clinical and optical coherence tomography features before and after surgery.
Am J Ophthalmol. 2005 Feb; 139(2):383-6.AJ

Abstract

PURPOSE

To report clinical and optical coherence tomography (OCT) features in patients with idiopathic macular hole and extensive subretinal fluid (extending at least 1 disk diameter from the center of the hole).

DESIGN

Retrospective, consecutive, noncomparative case series.

METHODS

The case records of two patients with idiopathic macular holes with extensive subretinal fluid were reviewed.

RESULTS

Both patients presented with reduced visual acuity (20/200 and 20/400). OCT demonstrated attachment of the posterior hyaloid to the inner retina, a full-thickness macular hole, cystoid macular edema (CME), and extensive subretinal fluid. After surgery, both patients achieved macular hole closure and improvement in visual acuity (20/60 and 20/30). Postoperatively, OCT showed a normal foveal contour, complete hole closure, and resolution of the CME and subretinal fluid.

CONCLUSIONS

In patients with macular hole and extensive subretinal fluid, improved visual acuity and hole closure can be achieved. Preoperative OCT in these patients demonstrates vitreoretinal interface abnormalities, CME, and extensive subretinal fluid. These changes resolve postoperatively.

Authors+Show Affiliations

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15734018

Citation

Kitchens, John W., et al. "Idiopathic Macular Hole With Extensive Subretinal Fluid: Clinical and Optical Coherence Tomography Features Before and After Surgery." American Journal of Ophthalmology, vol. 139, no. 2, 2005, pp. 383-6.
Kitchens JW, Flynn HW, Moshfeghi AA, et al. Idiopathic macular hole with extensive subretinal fluid: clinical and optical coherence tomography features before and after surgery. Am J Ophthalmol. 2005;139(2):383-6.
Kitchens, J. W., Flynn, H. W., Moshfeghi, A. A., & Puliafito, C. A. (2005). Idiopathic macular hole with extensive subretinal fluid: clinical and optical coherence tomography features before and after surgery. American Journal of Ophthalmology, 139(2), 383-6.
Kitchens JW, et al. Idiopathic Macular Hole With Extensive Subretinal Fluid: Clinical and Optical Coherence Tomography Features Before and After Surgery. Am J Ophthalmol. 2005;139(2):383-6. PubMed PMID: 15734018.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Idiopathic macular hole with extensive subretinal fluid: clinical and optical coherence tomography features before and after surgery. AU - Kitchens,John W, AU - Flynn,Harry W,Jr AU - Moshfeghi,Andrew A, AU - Puliafito,Carmen A, PY - 2004/08/16/accepted PY - 2005/3/1/pubmed PY - 2005/4/12/medline PY - 2005/3/1/entrez SP - 383 EP - 6 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 139 IS - 2 N2 - PURPOSE: To report clinical and optical coherence tomography (OCT) features in patients with idiopathic macular hole and extensive subretinal fluid (extending at least 1 disk diameter from the center of the hole). DESIGN: Retrospective, consecutive, noncomparative case series. METHODS: The case records of two patients with idiopathic macular holes with extensive subretinal fluid were reviewed. RESULTS: Both patients presented with reduced visual acuity (20/200 and 20/400). OCT demonstrated attachment of the posterior hyaloid to the inner retina, a full-thickness macular hole, cystoid macular edema (CME), and extensive subretinal fluid. After surgery, both patients achieved macular hole closure and improvement in visual acuity (20/60 and 20/30). Postoperatively, OCT showed a normal foveal contour, complete hole closure, and resolution of the CME and subretinal fluid. CONCLUSIONS: In patients with macular hole and extensive subretinal fluid, improved visual acuity and hole closure can be achieved. Preoperative OCT in these patients demonstrates vitreoretinal interface abnormalities, CME, and extensive subretinal fluid. These changes resolve postoperatively. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/15734018/Idiopathic_macular_hole_with_extensive_subretinal_fluid:_clinical_and_optical_coherence_tomography_features_before_and_after_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(04)00999-7 DB - PRIME DP - Unbound Medicine ER -