AI Article Synopsis
- The study aimed to evaluate the effectiveness of surgical treatment for traumatic macular holes, focusing on preoperative and postoperative optical coherence tomography findings and their connection to visual outcomes.
- A retrospective analysis included patients who underwent vitrectomy, revealing a 91% success rate in closing the macular holes and significant improvement in visual acuity from an average of 20/120 to 20/70 after 3 months.
- The results indicated that larger holes and poorer preoperative visual acuity negatively impacted visual outcomes, highlighting the importance of preoperative assessments for predicting recovery.
Article Abstract
Purpose: To report the outcomes of eyes receiving surgical management for traumatic macular holes. To describe the preoperative and postoperative optical coherence tomography features of traumatic macular holes and to explore associations between preoperative clinical and optical coherence tomography features, and visual outcome.
Methods: Retrospective study of patients undergoing vitrectomy for traumatic macular hole and entered into the Australian and New Zealand Society of Retinal Specialists surgical registry. Preoperative clinical data, surgical details, and 3-month postoperative outcomes were recorded prospectively. Longer-term outcomes at 12 months were requested retrospectively, as were preoperative and postoperative optical coherence tomography scans.
Results: Hole closure was achieved in 91% (21/23) of patients with a single procedure. The average preoperative visual acuity was 20/120. At 3 months postoperatively, the mean visual acuity had improved to 20/70 (P < 0.001), 11/23 (48%) of eyes improved ≥15 letters, and the number of eyes with 20/40 acuity or better increased from 1/23 to 7/23. Eyes with worse visual outcomes (visual acuity < 20/80) had larger holes, worse preoperative acuity, and a greater extent of preoperative ellipsoid band attenuation than those with better postoperative visual acuity.
Conclusion: Eyes receiving surgical management for traumatic macular hole achieved good anatomical results and approximately half had a substantial improvement in acuity. Ellipsoid band attenuation on preoperative optical coherence tomography and worse preoperative acuity were associated with poorer visual outcomes.
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| http://dx.doi.org/10.1097/IAE.0000000000002382 | DOI Listing |
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- * Treatment options such as cryotherapy and laser photocoagulation led to tumor regression in 18 out of the 19 eyes after a follow-up period of about 25 months, indicating these methods are generally effective but may require multiple sessions.
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