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SURGICAL MANAGEMENT OF TRAUMATIC MACULAR HOLE: Optical Coherence Tomography Features and Outcomes
Yi Fan Tang1, Andrew Chang2, William G Campbell3
1Department of Ophthalmology, Canberra Hospital, Garran, Australian Capital Territory, Australia.
Retina (Philadelphia, Pa.)
|January 24, 2020
Summary
Surgical management for traumatic macular holes achieved good anatomical closure in 91% of eyes. Preoperative optical coherence tomography features like ellipsoid band attenuation impact visual outcomes after surgery.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Macular Diseases
Background:
- Traumatic macular holes are a significant cause of vision loss.
- Surgical outcomes for traumatic macular holes require further investigation.
Purpose of the Study:
- To report surgical outcomes for traumatic macular holes.
- To describe preoperative and postoperative optical coherence tomography (OCT) features.
- To explore associations between OCT features and visual outcomes.
Main Methods:
- Retrospective study of patients undergoing vitrectomy for traumatic macular hole.
- Data collected from the Australian and New Zealand Society of Retinal Specialists surgical registry.
- Preoperative and postoperative OCT scans analyzed for clinical and visual outcomes.
Main Results:
- 91% hole closure achieved with single surgery.
- Mean visual acuity improved from 20/120 to 20/70 postoperatively (P < 0.001).
- Worse outcomes associated with larger holes, poorer preoperative acuity, and ellipsoid band attenuation.
Conclusions:
- Surgical management yields good anatomical results for traumatic macular holes.
- Approximately 50% of patients experience substantial visual acuity improvement.
- Preoperative ellipsoid band attenuation and acuity predict poorer visual outcomes.
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