Irregularity of photoreceptor layer after successful macular hole surgery prevents visual acuity improvement

To investigate the association between a photoreceptor irregularity and visual acuity (VA) after macular hole (MH) surgery. Prospective observational case series. Twenty-four eyes with an idiopathic MH that resolved after vitreous surgery were examined by new optical coherence tomography (OCT 3000)....

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Bibliographic Details
Published in:American journal of ophthalmology 2004-08, Vol.138 (2), p.308-310
Main Authors: Kitaya, Norihiko, Hikichi, Taiichi, Kagokawa, Hiroyuki, Takamiya, Akira, Takahashi, Atsushi, Yoshida, Akitoshi
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Female
Humans
Male
Medical research
Medical sciences
Ophthalmology
Photoreceptor Cells, Vertebrate - pathology
Photoreceptors
Postoperative Complications - diagnosis
Postoperative Complications - physiopathology
Prospective Studies
Retina
Retinal Diseases - diagnosis
Retinal Diseases - physiopathology
Retinal Perforations - surgery
Retinopathies
Surgery
Tomography
Tomography, Optical Coherence
Visual Acuity - physiology
Vitrectomy
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Summary:To investigate the association between a photoreceptor irregularity and visual acuity (VA) after macular hole (MH) surgery. Prospective observational case series. Twenty-four eyes with an idiopathic MH that resolved after vitreous surgery were examined by new optical coherence tomography (OCT 3000). The images were divided into regular photoreceptor, detected as a straight line above the retinal pigment epithelium reflex, and irregular, which cannot be detected by it. Regular images were observed in 12 eyes (80%) and irregular images in 3 eyes (20%) with good VA (≥0.7). Regular images were seen in 3 eyes (33%) and irregular images in 6 eyes (67%) with poor VA (
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2004.03.004