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Polina Astroz Evtouchenko, Elise Philippakis, Ramin Tadayoni, Alain Gaudric; Idiopathic macular hole in the fellow eye: prognostic significance of vitreomacular traction at the first examination. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4069. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
The risk of Macular Hole (MH) of the fellow eye has varied considerably in the literature and depends above all on the type of Optical Coherence Tomography (OCT) used and the follow-up. The purpose of this study was to determine the risk of MH in fellow eyes without foveolar vitreous detachment at baseline.
This retrospective study included fellow eyes of patients who underwent surgery for idiopathic MH in our hospital, between January 1, 2009 and December 31, 2011. Vitreomacular status at baseline was classified by Spectral Domain-OCT: VitreoMacular Traction (VMT), VitreoMacular Adhesion VMA and No Posterior Vitreous Detachment (PVD). Macular microstructural intraretinal anomalies were analyzed.
In all, 85 fellow eyes were included. The median follow-up interval was 29,4 months (2,04-78,37). At baseline, 34 fellow eyes had a VMT, 39 had a VMA and 12 had No PVD. During the entire follow-up, 17.6% fellow eyes (15/85) developed a MH. Among fellow eyes with VMT at baseline, 32.4% (11/34) developed a MH and only 7.8% (4/51) of that without VMT at baseline (p=0.004). Among eyes with VMT at baseline, the presence of intraretinal anomalies, such as foveal cystic changes, ellipsoid zone disruption or foveal detachment, had not an increased risk than those with only an elevation of the foveal floor (p=0.596). Patients with a MH of the fellow eye were significantly older (72.8 ± 7.8) than those without a MH of the fellow eye (66.6 ± 7.4) (p=0.005).
Conclusion: Baseline Spectral Domain-OCT vitreomacular status is a good predictor of the risk of MH of the fellow eye. One third of fellow eyes with VMT at baseline develop a MH.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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