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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-06-2008 | Retinal Disorders

Correlation between foveal structure and visual outcome following macular hole surgery: a spectral optical coherence tomography study

Authors: Zofia Michalewska, Janusz Michalewski, Slawomir Cisiecki, Ron Adelman, Jerzy Nawrocki

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 6/2008

Abstract

Purpose

The aim of this paper is to evaluate the retinal structure after macular hole surgery and to study the correlation of structural findings with final functional outcomes, using high-speed, high-resolution spectral optical coherence tomography (SOCT).

Methods

Sixty-eight eyes of 60 patients with full-thickness macular holes were included in the study. All patients underwent pars plana vitrectomy with trypan blue staining and internal limiting membrane (ILM) peeling. Patients were evaluated by SOCT, with 6 μm axial and 12–18 μm transverse resolution and three-dimensional images of the retina.

Results

There were four different types of macular hole closure: U-shape, V-shape, irregular and flat/open. The following retinal abnormalities were observed in postoperative scans: photoreceptor irregularities, lack of photoreceptors (photoreceptor defect), cysts in outer retinal layers, nerve fiber layer defects, lesion of all retinal layers, and RPE defects. It was possible to evaluate photoreceptor defects on a three-dimensional image. Retinal thickness in the fovea was also measured.

Conclusions

Because of excellent resolution, SOCT is capable of visualization of retinal defects after macular hole surgery. Three-dimensional examination is adequate for evaluation of photoreceptor defects. Good postoperative visual acuity is correlated with U-shape closure, normal foveal thickness and absence of photoreceptor layer defects.

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Title: Correlation between foveal structure and visual outcome following macular hole surgery: a spectral optical coherence tomography study
Authors: Zofia Michalewska
Janusz Michalewski
Slawomir Cisiecki
Ron Adelman
Jerzy Nawrocki
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 6/2008
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-007-0764-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Correlation between foveal structure and visual outcome following macular hole surgery: a spectral optical coherence tomography study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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