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Long-Term Anatomic and Functional Outcomes after Macular Hole Surgery.
Karolina Kaźmierczak1, Joanna Stafiej1, Joanna Stachura1
1Department of Ophthalmology, Faculty of Medicine, Nicolaus Copernicus University in Toruń, Collegium Medicum, Bydgoszcz, Sklodowskiej-Curie 9, 85-094 Bydgoszcz, Poland.
Journal of Ophthalmology
|January 2, 2019
Summary
Macular hole (MH) surgery demonstrates high closure rates and improved visual acuity over time. However, long-term structural defects can impact vision, highlighting the importance of early intervention for better outcomes.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Visual Science
Background:
- Macular holes (MHs) are a significant cause of vision loss.
- Surgical intervention is the primary treatment for MHs.
- Long-term outcomes and factors influencing them require further investigation.
Purpose of the Study:
- To assess the long-term structural and functional results of macular hole surgery.
- To identify factors affecting visual outcomes after MH repair.
- To evaluate the progression of retinal restoration post-surgery.
Main Methods:
- A cohort of 44 eyes from 40 patients undergoing MH surgery were evaluated.
- Assessments included visual acuity, optical coherence tomography (OCT), and color vision testing.
- Fellow eyes (n=30) served as a control group for comparison.
Main Results:
- Successful MH closure was achieved in 95.45% of eyes, with no reopening observed.
- Long-term OCT revealed inner-segment/outer-segment (IS/OS) junction defects in 63.6% and external limiting membrane (ELM) defects in 43.2%.
- ELM defects correlated with MH diameter and duration, and negatively impacted best-corrected visual acuity (BCVA).
Conclusions:
- Macular hole surgery yields satisfactory long-term anatomical and functional outcomes.
- Retinal restoration progresses slower than visual acuity improvement post-MH closure.
- Early intervention for MHs, especially smaller ones, is associated with better functional recovery.
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