Yıl: 2022 Cilt: 2 Sayı: 4 Sayfa Aralığı: 35 - 41 Metin Dili: İngilizce DOI: 10.14744/eer.2022.83703 İndeks Tarihi: 25-05-2023

Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal

Öz:
Purpose: To predict the post-operative visual outcome considering the pre-operative factors and macular hole (MH) indices based on hole configuration in OCT. Methods: Twenty-six eyes of 26 patients with full thickness MH (Stage II, III, and IV) were enrolled in this retrospective ob- servational study between June 2017 and April 2019. Preoperative morphological parameters of MH such as base and min- imum diameter, vertical height, left arm, and right arm length were calculated manually using the software in the cirrus optical coherence tomography (OCT) machine. MH Index (MHI), hole form factor (HFF), traction hole index, and diameter hole index were calculated and correlated with post-operative best-corrected visual acuity (VA) at last follow-up. 23-gauge pars plana vitrectomy, internal limiting membrane peeling with 12% C3F8 tamponade was performed in all patients and was followed up to 6 months postoperatively. Results: The median value of patient’s age, duration of symptoms, pre- and post-operative best corrected VA were 60 years, 9 months, 1.15 logMAR, 0.80 logMAR, similarly axial length, minimum hole diameter, base diameter of the MH, and central subfoveal macular thickness (CMT) were 22.8 mm, 646.5 μm, 736.5 μm, and 291 μm, respectively. Post-operative visual out- come after MH surgery is better in patients with MHI ≥0.5, HFF ≥0.9, and CMT ≥300 μm. Conclusion: Pre-operative measurement of MH indices calculated from OCT images can be a prognostic factor in determin- ing the post-operative visual outcome of MH surgery.
Anahtar Kelime: Central subfoveal macular thickness hole form factor macular hole macular hole index visual outcome.

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Smiddy WE, Glaser BM, Thompson JT, Sjaarda RN, Flynn HW Jr., Hanham A, et al. Transforming growth factor-beta 2 sig- nificantly enhances the ability to flatten the rim of subretinal fluid surrounding macular holes. Preliminary anatomic re- sults of a multicenter prospective randomized study. Retina 1993;13:296–301. 2 Wendel RT, Patel AC, Kelly NE, Salzano TC, Wells JW, Novack GD. Vitreous surgery for macular holes. Ophthalmology 1993;100:1671–6.
  • Ryan EH Jr., Gilbert HD. Results of surgical treatment of re- cent-onset full-thickness idiopathic macular holes. Arch Oph- thalmol 1994;112:1545–53.
  • Freeman WR, Azen SP, Kim JW, el-Haig W, Mishell DR 3rd, Bailey I. Vitrectomy for the treatment of fullthickness stage 3 or 4 macular holes. Results of a multicentered randomized clinical trial. Vitrectomy for treatment of macular hole study group. Arch Ophthalmol 1997;115:11–21.
  • DeBustros S. Vitrectomy for prevention of macular holes. Results of a randomized multicenter clinical trial. Vitrectomy for prevention of macular hole study group. Ophthalmology 1994;101:1055–9.
  • Haritoglou C, Gass CA, Schaumberger M, Ehrt O, Gandorfer A, Kampik A. Macular changes after peeling of internal limiting membrane in macular hole surgery. Am J Ophthalmol 2001;132:363–8.
  • Brooks HL Jr. Macular hole surgery with and without internal limiting membrane peeling. Ophthalmology 2000;107:1939– 49.
  • Haritoglou C, Gass CA, Schaumberger M, Gandorfer A, Ulbig MW, Kampik A. Long-term follow-up after macular hole surgery with internal limiting membrane peeling. Am J Ophthal- mol 2001;134:661–6.
  • Rodrigues EB, Meyer CH. Meta-analysis of chromovitrectomy with indocyanine green in macular hole surgery. Ophthalmo- logica 2008;222:123–9.
  • Tognetto D, Grandin R, Sanguinetti G, Minutola D, Di Nicola M, Di Mascio R, et al. Internal limiting membrane removal during macular hole surgery: Results of a multicenter retrospective study. Ophthalmology 2006;113:1401–10.
  • Ullrich S, Haritoglou C, Gass C, Schaumberger M, Ulbig MW, Kampik A. Macular hole size as a prognostic factor in macular hole surgery. Br J Ophthalmol 2002;86:390–3.
  • Chang E, Garg P, Capone A Jr. Outcomes and predictive factors in bilateral macular holes. Ophthalmology 2013;120:1814–9.
  • Gupta B, Laidlaw DA, Williamson TH, Shah SP, Wong R, Wren S. Predicting visual success in macular hole surgery. Br J Ophthalmol 2009;93:1488–91.
  • Kim JW, Freeman WR, Azen SP, el-Haig W, Klein DJ, Bailey IL. Prospective randomized trial of vitrectomy or observation for stage 2 macular holes. Vitrectomy for macular hole study group. Am J Ophthalmol 1996;121:605–14.
  • Roth DB, Smiddy WE, Feuer W. Vitreous surgery for chronic macular holes. Ophthalmology 1997;104:2047–52.
  • Mester U, Becker M. Prognostic factors in surgery of macular holes. Ophthalmologe 1998;95:158–62.
  • Kumagai K, Ogino N, Demizu S, Atsumi K, Kurihara H, Iwaki M, et al. Factors related to initial success in macular hole surgery. [Article in Japanese]. Nippon Ganka Gakkai Zasshi. 2000;104:792–6.
  • Gander IC, Senn P, Luthi M, Schipper I. Prognostic factors and results after surgical treatment of idiopathic macular holes, stage 2 and 3. Klin Monbl Augenheilkd 2000;216:272–7.
  • Nukada K, Hangai M, Ooto S, Yoshikawa M, Yoshimura N. Tomographic features of macula after successful macular hole surgery. Invest Ophthalmol Vis Sci 2013;54:2417–28.
  • Chen H, Chen W, Zheng K, Peng K, Xia H, Zhu L. Prediction of spontaneous closure of traumatic macular hole with spectral domain optical coherence tomography. Sci Rep 2015;5:12343.
  • Matsumiya W, Kusuhara S, Shimoyama T, Honda S, Tsukahara Y, Negi A. Predictive value of preoperative optical coherence tomography for visual outcome following macular hole surgery: Effects of imaging alignment. Jpn J Ophthalmol 2013;57:308–
  • Ip MS, Baker BJ, Duker JS, Reichel E, Baumal CR, Gangnon R, et al. Anatomical outcomes of surgery for idiopathic macular hole as determined by optical coherence tomography. Arch Ophthalmol 2002;120:29–35. 15.
  • Kang S, Ahn K, Ham D. Types of macular hole closure and their clinical implications. Br J Ophthalmol 2003;87:1015–9.
  • Massin P, Vicaut E, Haouchine B, Erginay A, Paques M, Gaudric A. Reproducibility of retinal mapping using optical coherence tomography. Arch Ophthalmol 2001;119:1135–42.
  • Simura M, Yasuda K, Nakazawa T, Kano T, Ohta S, Tamai M. Quantifying alteration of macular thickness before and after panretinal photocoagulation in patients with severe diabetic retinopathy and good vision. Ophthalmology 2003;110:2386– 94.
  • Kusuhara S, Escaño MF, Fujii S, Nakanishi Y, Tamura Y, Nagai A, 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;138:709–16.
  • Kusuhara S, Michael F, Escano T, Fujii S, Nakanishi Y, Tamura Y, Nagai A, et al. Prediction of postoperative visual outcome based on hole configuration by optical coherence tomogra- phy in eyes with idiopathic macular holes. Am J Ophthalmol 2004;138:709–16.
  • Suda K, Hangai M, Yoshimura N. Axial length and outcomes of macular hole surgery assessed by spectral-domain optical coherence tomography. Am J Ophthalmol 2011;151:118–27.
  • Puliafito R, Hee MR, Lin CP, Reichel E, Schuman JS, Duker JS, et al. Imaging of macular diseases with optical coherence to- mography (OCT). Ophthalmology 1995;102:217–29.
  • Shpak AA, Shkvorchenko DO, Sharafetdinov I, Yukhanova OA. Predicting anatomical results of surgical treatment of idio- pathic macular hole. Int J Ophthalmol 2016;9:253–7.
APA Piya S, Singh S, gurung J, Khadka S, Thapa D, Gurung S (2022). Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. , 35 - 41. 10.14744/eer.2022.83703
Chicago Piya Saurav,Singh Sweta,gurung Jeena,Khadka Simanta,Thapa Dr. Bikram Bahadur,Gurung Shanti Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. (2022): 35 - 41. 10.14744/eer.2022.83703
MLA Piya Saurav,Singh Sweta,gurung Jeena,Khadka Simanta,Thapa Dr. Bikram Bahadur,Gurung Shanti Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. , 2022, ss.35 - 41. 10.14744/eer.2022.83703
AMA Piya S,Singh S,gurung J,Khadka S,Thapa D,Gurung S Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. . 2022; 35 - 41. 10.14744/eer.2022.83703
Vancouver Piya S,Singh S,gurung J,Khadka S,Thapa D,Gurung S Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. . 2022; 35 - 41. 10.14744/eer.2022.83703
IEEE Piya S,Singh S,gurung J,Khadka S,Thapa D,Gurung S "Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal." , ss.35 - 41, 2022. 10.14744/eer.2022.83703
ISNAD Piya, Saurav vd. "Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal". (2022), 35-41. https://doi.org/10.14744/eer.2022.83703
APA Piya S, Singh S, gurung J, Khadka S, Thapa D, Gurung S (2022). Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. European eye research, 2(4), 35 - 41. 10.14744/eer.2022.83703
Chicago Piya Saurav,Singh Sweta,gurung Jeena,Khadka Simanta,Thapa Dr. Bikram Bahadur,Gurung Shanti Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. European eye research 2, no.4 (2022): 35 - 41. 10.14744/eer.2022.83703
MLA Piya Saurav,Singh Sweta,gurung Jeena,Khadka Simanta,Thapa Dr. Bikram Bahadur,Gurung Shanti Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. European eye research, vol.2, no.4, 2022, ss.35 - 41. 10.14744/eer.2022.83703
AMA Piya S,Singh S,gurung J,Khadka S,Thapa D,Gurung S Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. European eye research. 2022; 2(4): 35 - 41. 10.14744/eer.2022.83703
Vancouver Piya S,Singh S,gurung J,Khadka S,Thapa D,Gurung S Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal. European eye research. 2022; 2(4): 35 - 41. 10.14744/eer.2022.83703
IEEE Piya S,Singh S,gurung J,Khadka S,Thapa D,Gurung S "Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal." European eye research, 2, ss.35 - 41, 2022. 10.14744/eer.2022.83703
ISNAD Piya, Saurav vd. "Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal". European eye research 2/4 (2022), 35-41. https://doi.org/10.14744/eer.2022.83703