May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Chronological Progression of Combination Vitreomacular Traction and Full-Thickness Macular Hole Over a Six Month Period Documented by Optical Coherence Tomography
Author Affiliations & Notes
  • S. M. Pfahler
    The National Retina Institute, Towson, Maryland
  • V. Djafari
    The National Retina Institute, Towson, Maryland
  • Footnotes
    Commercial Relationships  S.M. Pfahler, None; V. Djafari, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 3222. doi:https://doi.org/
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      S. M. Pfahler, V. Djafari; Chronological Progression of Combination Vitreomacular Traction and Full-Thickness Macular Hole Over a Six Month Period Documented by Optical Coherence Tomography. Invest. Ophthalmol. Vis. Sci. 2008;49(13):3222. doi: https://doi.org/.

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

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Abstract

Purpose: : A case of newly diagnosed and subsequent non-treatment (seven months) of VMT with full thickness macular hole is studied using optical coherence tomography (OCT).

Methods: : A total of eight separate patient examinations were completed over a seven month period (September 2006-March 2007). Despite evidence of a full-thickness macular hole, the patient declined surgical treatment for the initial seven month period. Standard vitreo-retinal examinations with OCT scans were completed at each visit.

Results: : On the initial visit, OCT revealed a combination of central VMT, full-thickness macular hole and associated cystoid macular edema. Evidence of VMT was present on all six central OCT meridians while macular hole was only visible on 1/6. The BCVA on presentation was 20/100. Vitreo-macular traction with full thickness macular hole remained present on all follow-up examinations (n=7). Evidence of full-thickness macular hole was only present on 1/6 meridians in all except the last two visits. On visits 2-6 the BCVA range was 20/50 to 20/63, with the size of macular hole unchanged. On visits 7 and 8, BCVA was 20/100 and 20/200 respectively, with a significant increase in central retinal thickness and macular hole size.

Conclusions: : As evident in the study case, it is imperative to review all radial scans included in the macular analysis OCT protocol, as full-thickness macular hole can be present on only 1/6 of the standard six meridian scans. Visual acuity, VMT, macular hole size, and retinal thickness may remain stable over many months in untreated cases.

Keywords: macular holes • macula/fovea • edema 
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