Visual Recovery after Macular Hole Surgery and Related Prognostic Factors
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To describe the visual recovery and prognostic factors after macular hole surgery. Methods: A retrospective chart review was conducted. Charts of patients with idiopathic macular holes who underwentsurgery by a single surgeon at Severance Hospital between January 1, 2013 and July 31, 2015 werereviewed. The best-corrected visual acuity (BCVA) score was recorded preoperatively and at 1 day and 1, 3,6, 9, and 12 months after surgery. The variables of age, sex, macular hole size, basal hole diameter, choroidalthickness, and axial length were also noted. Results: Twenty-six eyes of 26 patients were evaluated. Twenty-five patients (96.2%) showed successful macularhole closure after the primary operation. The BCVA stabilized 6 months postoperatively. A large basal holediameter (p = 0.006) and thin choroid (p = 0.005) were related to poor visual outcomes. Poor preoperativeBCVA (p < 0.001) and a thick choroid (p = 0.020) were associated with greater improvement in BCVA aftersurgery. Conclusions: Visual acuity stabilized by 6 months after macular hole surgery. Choroidal thickness was a protectivefactor for final BCVA and visual improvement after the operation.
Abstract
To describe the visual recovery and prognostic factors after macular hole surgery. Methods: A retrospective chart review was conducted. Charts of patients with idiopathic macular holes who underwentsurgery by a single surgeon at Severance Hospital between January 1, 2013 and July 31, 2015 werereviewed. The best-corrected visual acuity (BCVA) score was recorded preoperatively and at 1 day and 1, 3,6, 9, and 12 months after surgery. The variables of age, sex, macular hole size, basal hole diameter, choroidalthickness, and axial length were also noted. Results: Twenty-six eyes of 26 patients were evaluated. Twenty-five patients (96.2%) showed successful macularhole closure after the primary operation. The BCVA stabilized 6 months postoperatively. A large basal holediameter (p = 0.006) and thin choroid (p = 0.005) were related to poor visual outcomes. Poor preoperativeBCVA (p < 0.001) and a thick choroid (p = 0.020) were associated with greater improvement in BCVA aftersurgery. Conclusions: Visual acuity stabilized by 6 months after macular hole surgery. Choroidal thickness was a protectivefactor for final BCVA and visual improvement after the operation.
참고문헌 (25)
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