BACKGROUND AND OBJECTIVE: To describe a series of patients with decreased vision secondary to stage 1 macular hole confirmed by optical coherence tomography (OCT) that failed to spontaneously resolve with observation....BACKGROUND AND OBJECTIVE: To describe a series of patients with decreased vision secondary to stage 1 macular hole confirmed by optical coherence tomography (OCT) that failed to spontaneously resolve with observation. To determine whether current surgical techniques can prevent progression to a full-thickness macular hole and lead to improved visual acuity. PATIENTSANDMETHODS: Retrospective,comparative case series presenting patient demographics,duration of symptoms,timing of surgery,preoperative and postoperative vision,and clinical outcome based on examination and OCT. RESULTS: Five eyes of five patients with stage 1 macular holes identified on OCT required surgical repair. All eyes showed anatomic closure and lack of progression to a full-thickness hole confirmed by OCT after one procedure. Mean preoperative visual acuity was 20/102 (range,20/50 to 20/200) and mean postoperative visual acuity was 20/52 (range,20/25 to 20/200). Average improvement for all five eyes was 3 Snellen lines,with four of the five (80% ) improving 5 lines each. CONCLUSION: In symptomatic eyes with stage 1 macular holes that fail to spontaneously resolve with observation,vitrectomy with intraocular gas tamponade may prevent progression to a full-thickness hole and lead to improved visual acuity.展开更多
文摘BACKGROUND AND OBJECTIVE: To describe a series of patients with decreased vision secondary to stage 1 macular hole confirmed by optical coherence tomography (OCT) that failed to spontaneously resolve with observation. To determine whether current surgical techniques can prevent progression to a full-thickness macular hole and lead to improved visual acuity. PATIENTSANDMETHODS: Retrospective,comparative case series presenting patient demographics,duration of symptoms,timing of surgery,preoperative and postoperative vision,and clinical outcome based on examination and OCT. RESULTS: Five eyes of five patients with stage 1 macular holes identified on OCT required surgical repair. All eyes showed anatomic closure and lack of progression to a full-thickness hole confirmed by OCT after one procedure. Mean preoperative visual acuity was 20/102 (range,20/50 to 20/200) and mean postoperative visual acuity was 20/52 (range,20/25 to 20/200). Average improvement for all five eyes was 3 Snellen lines,with four of the five (80% ) improving 5 lines each. CONCLUSION: In symptomatic eyes with stage 1 macular holes that fail to spontaneously resolve with observation,vitrectomy with intraocular gas tamponade may prevent progression to a full-thickness hole and lead to improved visual acuity.
