Functional assessment of macular hole surgery by scanning laser ophthalmoscopy

Ophthalmology
J E GuezA Gaudric

Abstract

This study aimed to evaluate more precisely the benefit of macular hole surgery. The design was a prospective study of 40 eyes in 40 patients examined before and after surgery of full-thickness macular holes with a scanning laser ophthalmoscope (SLO). Forty patients with full-thickness macular holes participated. Three of the holes were stage 2, 23 were stage 3, and 14 were stage 4. The SLO examination consisted of macular imaging and assessment of macular function using tests produced by an acousto-optical modulator. Preferred retinal locus (PRL) was determined, visual acuity was measured, and scotoma was detected by microscotometry and by the line test (modified Watzke-Allen test). Anatomic success was achieved in 32 of 40 cases as assessed biomicroscopically. On SLO examination before surgery, macular holes were seen as a central bright round disc outlined by a thin dark edge surrounded by a dark ring and a less dark area with ill-defined limits. In all cases, the PRL was located on the upper edge of the hole, a scotoma was always detected inside the hole, and the line was seen as broken in 26 of 32 cases. After surgery, the hole closed completely in 25 of 32 eyes; it disappeared from 14 of these 25 eyes and was replaced by ...Continue Reading

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Citations

Dec 19, 2009·Japanese Journal of Ophthalmology·Takanori KamedaNagahisa Yoshimura
Mar 26, 2003·American Journal of Ophthalmology·Kazuaki KadonosonoJames A Marron
Dec 5, 2002·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Michael D Crossland, Gary S Rubin
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Aug 2, 2011·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Cornelis A VerezenB Jeroen Klevering
Jan 3, 2001·The British Journal of Ophthalmology·E Ezra
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Feb 4, 2014·American Journal of Ophthalmology·Eric W SchneiderTamer H Mahmoud
May 17, 2012·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Kapil G KapoorGibran S Khurshid
Mar 27, 2009·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Tomohiko YanagitaMasahiko Takano
May 22, 2007·Ophthalmology·Xavier Valldeperas, David Wong
Nov 9, 2004·American Journal of Ophthalmology·Belkacem HaouchineAlain Gaudric
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Aug 30, 2008·Progress in Retinal and Eye Research·Klaus RohrschneiderChristina Springer

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