April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Predisposing factors and prognosis of postoperative foveal detachment following successful macular hole (MH) surgery
Author Affiliations & Notes
  • Athanasios Vachtsevanos
    OPHTHALMICA Eye Clinic, Thessaloniki, Greece
    Eye Clinic "O Agios Dimitrios" General Hospital, Thessaloniki, Greece
  • Vaggelis Lokovitis
    OPHTHALMICA Eye Clinic, Thessaloniki, Greece
  • Solon Asteriades
    OPHTHALMICA Eye Clinic, Thessaloniki, Greece
  • Athanasios Vakalis
    OPHTHALMICA Eye Clinic, Thessaloniki, Greece
  • Dimitrios Koreas
    OPHTHALMICA Eye Clinic, Thessaloniki, Greece
  • Stavrenia Koukoula
    OPHTHALMICA Eye Clinic, Thessaloniki, Greece
  • Tranos Paris
    OPHTHALMICA Eye Clinic, Thessaloniki, Greece
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 316. doi:
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      Athanasios Vachtsevanos, Vaggelis Lokovitis, Solon Asteriades, Athanasios Vakalis, Dimitrios Koreas, Stavrenia Koukoula, Tranos Paris; Predisposing factors and prognosis of postoperative foveal detachment following successful macular hole (MH) surgery. Invest. Ophthalmol. Vis. Sci. 2014;55(13):316.

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

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Abstract
 
Purpose
 

To identify pre- and intraoperative risk factors that predispose to outer retinal fluid development following successful macular hole surgery. The natural course of the foveal detachment was also investigated.

 
Methods
 

Thirty four eyes of 33 patients that underwent pars plana vitrectomy for idiopathic MH were studied. Best corrected visual acuity (BCVA), and Spectralis SD-OCT images were examined preoperatively and at 1, 3, 6 months postoperatively. Patients’ demographic characteristics, stage of macular hole and differentiation between surgeons regarding surgical technique were also recorded. Correlation between postoperative foveal detachment and the above possible explanatory variables were evaluated.

 
Results
 

Postoperative presence of outer retinal fluid was observed in 13/34 (38%) eyes. In 9/13 of those eyes foveal detachment disappeared by 6 months but one patient developed lamellar hole leading to full thickness MH 26 months following initial surgery. Preoperative BCVA was 0.55 ± 0.23 improving to 0.33±0.2 in the final follow up. Postoperative VA was better in eyes that did not developed postoperative foveal detachment (0.40 ±0.23 vs 0.32±0.20) but did not reach statistical significance (p=0.30). Development of postoperative foveal detachment was associated with preoperative foveal vitreomacular traction (p=0.048), stage II MH (p=0.017) and smaller size of the closest distance between the MH edges (p=0.046).

 
Conclusions
 

Postoperative foveal detachment is a common finding following successful MH surgery. Meticulous evaluation of preoperative clinical and OCT findings may disclose risk factors associated with this condition.

 
Keywords: 586 macular holes • 762 vitreoretinal surgery • 552 imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound)  
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