rss
Br J Ophthalmol 2003;87:1015-1019 doi:10.1136/bjo.87.8.1015
  • Clinical science
    • Extended reports

Types of macular hole closure and their clinical implications

  1. S W Kang,
  2. K Ahn,
  3. D-I Ham
  1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  1. Correspondence to: Se Woong Kang, MD, Department of Ophthalmology, Samsung Medical Center, College of Medicine, Sungkyunkwan University, #50 Ilwon-dong, Kangnam-ku, Seoul, 135–230, Korea; swkang{at}smc.samsung.co.kr
  • Accepted 3 December 2002

Abstract

Aims: To evaluate the clinical significance of macular hole closure types assessed by optical coherence tomography (OCT).

Methods: This study involved 34 eyes of 32 patients who had undergone anatomically successful idiopathic macular hole surgery. The closed macular holes were categorised into two patterns based on OCT; type 1 closure (closed without foveal neurosensory retinal defect) and type 2 closure (closed with foveal neurosensory retinal defect). Association between visual prognosis, type of hole closure, and possible prognostic factors were analysed.

Results: 19 eyes (61.3%) were classified into the type 1 closure and 12 eyes (38.7%) into the type 2 closure. The extent of postoperative visual improvement of type 1 closure group was larger than that of type 2 closure group (p=0.002). The preoperative macular hole size of type 2 closure group was significantly larger than that of type 1 closure group (p=0.006). The duration of symptoms was positively correlated with the preoperative macular hole size (p=0.01). Recurrence of macular hole occurred only in the type 2 closure group.

Conclusion: The type of macular hole closure, which was influenced by the preoperative hole diameter, was associated with postoperative visual prognosis. Early detection and intervention in macular hole should be emphasised.

Footnotes

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Responses

    1. Submit a response
    2. No responses published

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.