December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
Factors Associated with Macular Hole Re-opening After Successful Closure
R Sarrafizadeh; AS Noffke; GA Williams; RR Margherio; BR Garretson; A Capone Jr; AJ Ruby; TS Hassan; MT Trese
Author Affiliations & Notes
  • R Sarrafizadeh
    Associated Retinal Consultants Williamsburg MI
  • AS Noffke
    Associated Retinal Consultants Williamsburg MI
  • GA Williams
    Associated Retinal Consultants Royal Oak MI
  • RR Margherio
    Associated Retinal Consultants Royal Oak MI
  • BR Garretson
    Associated Retinal Consultants Royal Oak MI
  • A Capone Jr
    Associated Retinal Consultants Royal Oak MI
  • AJ Ruby
    Associated Retinal Consultants Royal Oak MI
  • TS Hassan
    Associated Retinal Consultants Royal Oak MI
  • MT Trese
    Associated Retinal Consultants Royal Oak MI
  • Footnotes
    Commercial Relationships   R. Sarrafizadeh, None; A.S. Noffke, None; G.A. Williams, None; R.R. Margherio, None; B.R. Garretson, None; A. Capone, Jr., None; A.J. Ruby, None; T.S. Hassan, None; M.T. Trese, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 2492. doi:
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      R Sarrafizadeh, AS Noffke, GA Williams, RR Margherio, BR Garretson, A Capone Jr, AJ Ruby, TS Hassan, MT Trese; Factors Associated with Macular Hole Re-opening After Successful Closure . Invest. Ophthalmol. Vis. Sci. 2002;43(13):2492.

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Abstract

Abstract: : Purpose: To evaluate factors associated with macular hole (MH) re-opening. Methods: Records of 472 patients who had MH surgery with a mean follow-up of 40 months (range 6-101) were reviewed. Incidence of hole re-opening and visual results were analyzed. Results: 448 of 501 holes closed after vitrectomy (89%). 49 (11%) of the closed holes re-opened on average in 8.9 months (range 3-57). Factors associated with hole re-opening were macular pucker with cystoid macular edema (CME) in 17 eyes (35%), retinal detachment in 6 eyes (12%), and CME following cataract surgery in 2 eyes (4%). Rate of hole closure following a second vitrectomy was 96%, with these eyes achieving similar final visual results (20/65) when compared to eyes with successful closure after a single operation (20/54, p=0.15). Conclusion: Many eyes that experience MH re-opening have associated CME. Repeat surgery is usually successful in closing recurrent holes.

Keywords: 461 macular holes • 563 retinal detachment • 620 visual acuity 
© 2002, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2024 Association for Research in Vision and Ophthalmology.
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