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G. Miura, S. Mizunoya, S. Yamamoto; Early Postoperative Macular Configuration and Functional Outcomes After Successful Macular Hole Surgery . Invest. Ophthalmol. Vis. Sci. 2005;46(13):2577.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To investigate the relationship between early postoperative changes in OCT–determined macular morphology and the final visual acuity in eyes following successful macular hole (MH) surgery. Methods:Pars plana vitrectomy was performed for idiopathic MH on 26 eyes with internal limiting membrane peeling. OCT and best–corrected VA (BCVA) were examined at 1, 3, and 6 months postoperatively. Results: An anatomical closure of MH was observed in all 25 eyes 1 month after surgery. Among the 25 eyes, 11 eyes showed nearly normal foveal configuration (normal OCT group), and 14 eyes showed subretinal fluid and/or macular edema (abnormal OCT group) at 1 month postoperatively. Among these 14 eyes, normal foveal configuration was confirmed by OCT in 9 eyes at 3 months and in 5 eyes at 6 months postoperatively. The mean BCVA improved significantly in both groups at 6 months postoperatively, and there was no significant difference in BCVA between the normal and the abnormal OCT group at any time during the follow–up period. Conclusions:OCT showed abnormal macular morphology in more than half of eyes that had successful MH surgery 1 month after surgery. However, such early postoperative morphological changes may not predict the final visual outcomes.
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