Outer foveolar defect after surgery for idiopathic macular hole

American Journal of Ophthalmology
Se Woong KangChan-Hui Yi

Abstract

To describe the clinical implications of outer foveolar defects on optical coherence tomography (OCT) in eyes treated surgically for macular hole (MH). Retrospective observational case series. Ninety-six eyes of 93 subjects who had undergone surgery for the treatment of idiopathic MH were included. Clinical data, including OCT prior to and at follow-up visits ranging from 3 to 32 months after surgery, were analyzed. Incidence, risk factors, and clinical outcomes of outer foveolar defect were evaluated. Outer foveolar defects were noted on postoperative OCT in 44 of the 96 eyes (45.8%). The mean preoperative diameter of MH in the eyes (333.5 ± 126.3 μm) evidencing outer foveolar defects was significantly smaller than those that did not (504.2 ± 155.6 μm) (P < .0001). The mean disappearance time of the defect was estimated to be 182 days after surgery. The mean postoperative visual acuity (logMAR) improved to 0.40 ± 0.26 from 0.58 ± 0.23 after the disappearance of outer foveolar defects. Outer foveolar defects were detected predominantly after surgery for small MHs. The defect decreases gradually in size and eventually disappears completely approximately 6 months after surgery.

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Citations

May 25, 2012·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Jaeryung OhKuhl Huh
Aug 22, 2013·The British Journal of Ophthalmology·Rubina RahmanJohn Stephenson
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Dec 18, 2010·American Journal of Ophthalmology·Jaeryung Oh
Apr 28, 2018·The British Journal of Ophthalmology·Kunho BaeKyung Tae Kim
Jun 26, 2012·Optometry and Vision Science : Official Publication of the American Academy of Optometry·In Kyung OhKuhl Huh
Apr 6, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Masanori IwasakiHiroko Imaizumi
May 6, 2016·The British Journal of Ophthalmology·Joana PiresNuno Lourenço Gomes
Jul 2, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Biying QiWu Liu
Nov 12, 2020·Translational Vision Science & Technology·Akira ObanaYuko Gohto

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