scholarly journals Re: Unsal et al. Preoperative prognostic factors for macular hole surgery: which is better? Oman J Ophthalmol 2019;12:20-4. [doi: 10.4103/ojo.OJO_247_2017]

2021 ◽  
Vol 14 (1) ◽  
pp. 64
Author(s):  
Piergiacomo Grassi
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. Roth ◽  
N. Schön ◽  
L. Jürgens ◽  
D. Engineer ◽  
K. Kirchhoff ◽  
...  

Abstract Background The aim of this retrospective study was to evaluate commonly used clinical and OCT-morphological parameters, including perifoveal pseudocysts, as prognostic factors for postoperative outcome after macular hole surgery in a retinal referral clinic in North Rhine-Westphalia, Germany. Methods and material This was a retrospective analysis of all patients who underwent surgery because of idiopathic MH between 2011 and 2017 in Augenklinik Tausendfensterhaus, Duisburg, Germany. Statistical evaluation of clinical and OCT-based parameters, including the areas of intraretinal pseudocysts, was conducted. The main statistical outcomes were surgical success and visual acuity. Only parameters with a highly significant correlation to the outcome parameters (postoperative visual acuity (VA); surgical success) in univariate analysis were entered in linear and logistic regression analyses. Results A total of 189 eyes of 178 patients (71.4% female; mean age 67.5 ± 8.2 a) who underwent surgery because of MH were included. The overall closure rate was 86.8%. The mean best corrected VA increased from 0.7 ± 0.3 logMAR before surgery to 0.5 ± 0.3 logMAR (p < 0.0001). While several clinical and OCT-based parameters as well as calculated indices showed a significant correlation with the outcome measures, the regression analysis showed that the minimum linear diameter was the only parameter that both predicted surgical success (p = 0.015) and was correlated with postoperative VA (p < 0.001). Conclusion The minimum linear diameter serves as an easily assessed prognostic factor with the best predictive properties. This result is of great importance for clinical practice, as it simplifies the postsurgical prognosis.


2015 ◽  
Vol 32 (7) ◽  
pp. 705-714 ◽  
Author(s):  
Paris G. Tranos ◽  
Panagiotis Stavrakas ◽  
Athanasios N. Vakalis ◽  
Solon Asteriadis ◽  
Evangelos Lokovitis ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Fumiki Okamoto ◽  
Yuki Moriya ◽  
Yoshimi Sugiura ◽  
Tomoya Murakami ◽  
Shohei Morikawa ◽  
...  

Abstract The aim of this prospective study was to evaluate the changes in stereopsis in patients who underwent vitrectomy for macular hole (MH) and assess the relationship between stereopsis and retinal microstructures. Fifty-two patients who underwent successful vitrectomy for unilateral MH and 20 control participants were recruited. We examined stereopsis using the Titmus Stereo Test (TST) and TNO stereotest (TNO), optical coherence tomography, and best-corrected visual acuity measurements, preoperatively, and at 3, 6, and 12 months postoperatively. As a result, preoperative and postoperative 3, 6, and 12-month values of stereopsis assessed by TST (log) were 2.7, 2.2, 2.2, and 2.2, respectively. TNO (log) were 2.8, 2.5, 2.4, and 2.4, respectively. Stereopsis in MH after surgery was significantly worse than that in normal participants (p < 0.001). Preoperative TST significantly correlated with MH size and defect length of external limiting membrane (ELM). Postoperative TST demonstrated significant correlation with the preoperative ELM defect length, and postoperative TNO was associated with the preoperative interdigitation zone defect length. Vitrectomy for MH significantly improved stereopsis, although not to normal levels. The ELM defect lengths, which approximately correspond to TST circles, are prognostic factors for postoperative stereopsis by TST. The interdigitation zone defect length, similar in size to the TNO index, is a prognostic factor for postoperative stereopsis by TNO.


2018 ◽  
Vol 32 (2) ◽  
pp. 140 ◽  
Author(s):  
Soo Han Kim ◽  
Hong Kyu Kim ◽  
Jong Yun Yang ◽  
Sung Chul Lee ◽  
Sung Soo Kim

2013 ◽  
Vol 251 (11) ◽  
pp. 2521-2527 ◽  
Author(s):  
Micol Alkabes ◽  
Leyla Padilla ◽  
Cecilia Salinas ◽  
Paolo Nucci ◽  
Lucia Vitale ◽  
...  

2019 ◽  
Vol 12 (1) ◽  
pp. 20 ◽  
Author(s):  
MehmetOzgur Cubuk ◽  
Erkan Unsal ◽  
Furkan Ciftci

Retina ◽  
2015 ◽  
Vol 35 (5) ◽  
pp. 899-907 ◽  
Author(s):  
David R. Chow ◽  
Khurram M. Chaudhary

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