AI Article Synopsis
- The study investigates the clinical characteristics and surgical outcomes of full-thickness macular holes (FTMH) with and without epiretinal proliferation (EP) using advanced optical coherence tomography (OCT) techniques.
- In a retrospective analysis of 318 eyes, 59 were found to have EP, with some cases only detectable through en-face OCT rather than traditional B-mode OCT.
- Results indicated that the EP group had a higher male representation, less vitreofoveal traction, and significantly worse visual recovery compared to the non-EP group at the 12-month mark.
Article Abstract
Purpose: To elucidate the clinical features and surgical outcomes of full-thickness macular hole (FTMH) with epiretinal proliferation (EP) diagnosed by both en-face and B-mode optical coherence tomography (OCT).
Method: This retrospective cohort study classified idiopathic FTMHs into two groups, based on B-scan and en-face OCT imaging: FTMH with EP (EP group) and without EP (non-EP group). The preoperative features, as well as postoperative outcomes up to 12 months, were compared between the two groups.
Result: Among 318 eyes of idiopathic FTMH that met the inclusion criteria, 59 eyes (18.6%) were in the EP group, and others were in the non-EP group. In 9 eyes (15.3%) out of the EP group, EP was not detected in the preoperative B-mode OCT but was identified through the en-face OCT. Baseline features showed a higher male proportion (47.5% vs. 27.8%, P = 0.005) and a lower incidence of vitreofoveal traction (P < 0.001) in the EP group than in the non-EP group. The EP group showed worse visual recovery than the non-EP group (- 0.23 vs. - 0.41 logarithm of the minimum angle of the resolution at 12 months, P = 0.001).
Conclusion: The en-face OCT enhances diagnostic accuracy of EP in FTMH eyes, especially in the case with smaller extent of EP. Eyes with FTMH with EP showed a worse visual recovery than FTMH without EP.
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| http://dx.doi.org/10.1007/s00417-024-06446-5 | DOI Listing |
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