Prevalence and Progression of Stage 0 Macular Hole in Fellow Eyes of Patients with Idiopathic Full-thickness Macular Hole
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: To assess the prevalence and progression of a stage 0 macular hole in the fellow eye of patients with an idiopathicfull-thickness macular hole. Methods: The fellow eyes of 189 patients who underwent idiopathic full-thickness macular hole surgery were examinedby biomicroscopy and spectral domain-optical coherence tomography (SD-OCT). A subset of 21 fellow eyes with a stage 0macular hole was observed. Changes in the macular hole were evaluated by biomicroscopy and SD-OCT for an average of 29months. Results: Among the 21 eyes, 15 showed no change in perifoveal vitreous detachment (71.4%). Two eyes (9.5%) developedcomplete vitreofoveal separation, and one of the two developed a separation after progression to stage 1A. Among 21 eyes,5 (23.8%) developed above stage 1A, and one of the five progressed to stage 1B after five years, which was successfullytreated with vitrectomy and gas tamponade. Conclusions: Perifoveal vitreous detachment in the fellow eye on SD-OCT, defined as a stage 0 macular hole, occurred at anearlier phase than stage 1A macular holes and may progress to an advanced stage. Therefore, patients who undergo macularhole surgery and have a stage 0 macular hole or perifoveal vitreous detachment in the fellow eye should be followed closely.
Abstract
Purpose: To assess the prevalence and progression of a stage 0 macular hole in the fellow eye of patients with an idiopathicfull-thickness macular hole. Methods: The fellow eyes of 189 patients who underwent idiopathic full-thickness macular hole surgery were examinedby biomicroscopy and spectral domain-optical coherence tomography (SD-OCT). A subset of 21 fellow eyes with a stage 0macular hole was observed. Changes in the macular hole were evaluated by biomicroscopy and SD-OCT for an average of 29months. Results: Among the 21 eyes, 15 showed no change in perifoveal vitreous detachment (71.4%). Two eyes (9.5%) developedcomplete vitreofoveal separation, and one of the two developed a separation after progression to stage 1A. Among 21 eyes,5 (23.8%) developed above stage 1A, and one of the five progressed to stage 1B after five years, which was successfullytreated with vitrectomy and gas tamponade. Conclusions: Perifoveal vitreous detachment in the fellow eye on SD-OCT, defined as a stage 0 macular hole, occurred at anearlier phase than stage 1A macular holes and may progress to an advanced stage. Therefore, patients who undergo macularhole surgery and have a stage 0 macular hole or perifoveal vitreous detachment in the fellow eye should be followed closely.
참고문헌 (9)
- Akiba J, "Fellow eyes in idiopathic macular hole cases", Ophthalmic Surg, 23, pp.594~597 (1992)
- Kumagai K, "Vitreoretinal interface and foveal deformation in asymptomatic fellow eyes of patients with unilateral macular holes", Ophthalmology, 118, pp.1638~1644 (2011)
- Chauhan DS, "Papillofoveal traction in macular hole formation: the role of optical coherence tomography", Arch Ophthalmol, 118, pp.32~38 (2000)
- Haouchine B, "Foveal pseudocyst as the first step in macular hole formation: a prospective study by optical coherence tomography", Ophthalmology, 108, pp.15~22 (2001)
- Chan A, "Stage 0 macular holes: observations by optical coherence tomography", Ophthalmology, 111, pp.2027~2032 (2004)
- Gass JD, "Idiopathic senile macular hole: its early stages and pathogenesis", Arch Ophthalmol, 106, pp.629~639 (1988)
- Niwa H, "Macular hole development in fellow eyes of patients with unilateral macular hole", Am J Ophthalmol, 140, pp.370~375 (2005)
- Majji AB, "Vitreo-retinal interface changes on optical coherence tomography in the fellow eyes of patients with macular hole", Int J Ophthalmol, 6, pp.526~530 (2013)
- Uemura A, "Vitreomacular interface and outer foveal microstructure in fellow eyes of patients with unilateral macular holes", Retina, 34, pp.1229~1234 (2014)