April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Correlation Between Foveal Microstructure and Visual Outcome in Surgically Closed Macular Holes: SD-OCT Analysis and FAF Findings
Author Affiliations & Notes
  • Seung-Young Yu
    Ophthalmology, Kyung Hee University, Seoul, Republic of Korea
  • Eung-Suk Kim
    Ophthalmology, Kyung Hee University, Seoul, Republic of Korea
  • Young-Seob Lee
    Ophthalmology, Kyung Hee University, Seoul, Republic of Korea
  • Hyung-Woo kwak
    Ophthalmology, Kyung Hee University, Seoul, Republic of Korea
  • Footnotes
    Commercial Relationships  Seung-Young Yu, None; Eung-Suk Kim, None; Young-Seob Lee, None; Hyung-Woo kwak, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 2210. doi:
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      Seung-Young Yu, Eung-Suk Kim, Young-Seob Lee, Hyung-Woo kwak; Correlation Between Foveal Microstructure and Visual Outcome in Surgically Closed Macular Holes: SD-OCT Analysis and FAF Findings. Invest. Ophthalmol. Vis. Sci. 2011;52(14):2210.

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

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Abstract

Purpose: : To investigate the change of foveal microstructure and identify correlation with visual acuity, and fundus autofluorescence (FAF) findings in eyes with surgically closed macular hole.

Methods: : Twenty eyes in 20 patients with successful closure of macular hole were studied. The eyes were categorized into 3 groups according to restoration of the IS/OS junction and ELM signal in the SD-OCT finding 6 months after the operation: Group A with complete restoration of the IS/OS junction and the ELM; Group B with a restoration of ELM, but not of IS/OS junction; and Group C with restoration of neither ELM nor IS/OS junction. The FAF findings of fovea at postoperative 6 month were classified as normal autofluorescence, mild increase of autofluorescence, and marked increase of autofluorescence.The correlation between postoperative best-corrected visual acuity (BCVA), FAF findings and restoration of photoreceptor inner and outer segment (IS/OS) junction and external liming membrane (ELM) were investigated.

Results: : The baseline BCVA did not differ significantly (P=0.089) among groups, but 6 months after the operation, BCVA (logMAR) of group A (9 eyes, 0.33±0.46) and B (6 eyes, 0.42±0.37) were significantly better than group C (5 eyes, 1.17±0.43) (P=0.03, P=0.046).The BCVA of group with marked increase of autofluorescence was significantly low than other groups (P=0.013, P=0.049). In group A, 9 eyes showed normal autofluorescence, in group B, 8 eyes showed normal or mild increase of autofluorescence, and in group C, 3 eyes showed marked increase of autofluorescence.

Conclusions: : The postoperative reconstruction of ELM as well as IS/OS junction may play an important role in visual recovery after macular hole surgery. In addition, postoperative FAF findings can be used for assess of recovery of outer retinal structure.

Keywords: macular holes • photoreceptors: visual performance • imaging/image analysis: clinical 
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