September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Idiopathic macular hole in the fellow eye: prognostic significance of vitreomacular traction at the first examination
Author Affiliations & Notes
  • Polina Astroz Evtouchenko
    Ophtalmology, Lariboisière Hospital, Paris, France
  • Elise Philippakis
    Ophtalmology, Lariboisière Hospital, Paris, France
  • Ramin Tadayoni
    Ophtalmology, Lariboisière Hospital, Paris, France
  • Alain Gaudric
    Ophtalmology, Lariboisière Hospital, Paris, France
  • Footnotes
    Commercial Relationships   Polina Astroz Evtouchenko, None; Elise Philippakis, None; Ramin Tadayoni, None; Alain Gaudric, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 4069. doi:
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      Polina Astroz Evtouchenko, Elise Philippakis, Ramin Tadayoni, Alain Gaudric; Idiopathic macular hole in the fellow eye: prognostic significance of vitreomacular traction at the first examination. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4069.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The risk of Macular Hole (MH) of the fellow eye has varied considerably in the literature and depends above all on the type of Optical Coherence Tomography (OCT) used and the follow-up. The purpose of this study was to determine the risk of MH in fellow eyes without foveolar vitreous detachment at baseline.

Methods : This retrospective study included fellow eyes of patients who underwent surgery for idiopathic MH in our hospital, between January 1, 2009 and December 31, 2011. Vitreomacular status at baseline was classified by Spectral Domain-OCT: VitreoMacular Traction (VMT), VitreoMacular Adhesion VMA and No Posterior Vitreous Detachment (PVD). Macular microstructural intraretinal anomalies were analyzed.

Results : In all, 85 fellow eyes were included. The median follow-up interval was 29,4 months (2,04-78,37). At baseline, 34 fellow eyes had a VMT, 39 had a VMA and 12 had No PVD. During the entire follow-up, 17.6% fellow eyes (15/85) developed a MH. Among fellow eyes with VMT at baseline, 32.4% (11/34) developed a MH and only 7.8% (4/51) of that without VMT at baseline (p=0.004). Among eyes with VMT at baseline, the presence of intraretinal anomalies, such as foveal cystic changes, ellipsoid zone disruption or foveal detachment, had not an increased risk than those with only an elevation of the foveal floor (p=0.596). Patients with a MH of the fellow eye were significantly older (72.8 ± 7.8) than those without a MH of the fellow eye (66.6 ± 7.4) (p=0.005).

Conclusions : Conclusion: Baseline Spectral Domain-OCT vitreomacular status is a good predictor of the risk of MH of the fellow eye. One third of fellow eyes with VMT at baseline develop a MH.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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