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- Publisher Website: 10.1016/j.jcjo.2012.05.001
- Scopus: eid_2-s2.0-84869234506
- PMID: 23036545
- WOS: WOS:000310417100010
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Article: Understanding macular holes that develop after repair of retinal detachment
Title | Understanding macular holes that develop after repair of retinal detachment |
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Authors | |
Issue Date | 2012 |
Citation | Canadian Journal of Ophthalmology, 2012, v. 47, n. 5, p. 435-441 How to Cite? |
Abstract | Objective: To present the characteristics and outcomes of macular holes (MHs) that arise in eyes that have been treated for retinal detachment (RD). Design: Retrospective, interventional, consecutive case series. Participants: We studied 18 eyes that developed a MH following RD repair. Methods: We report the demographic and clinical characteristics, MH closure rates, and best corrected visual acuity (BCVA) following MH repair. Results: We detected 18 full-thickness MHs in 985 eyes. In 14 of 18, the original RD involved the macula, and in 16 of 18, the BCVA was 20/200 or worse. Of the RDs, 8 of 18 required multiple procedures to achieve reattachment. Post-RD BCVA was 20/200 or worse in 15 of 18 patients. The median time to MH diagnosis after RD repair was 1 month (range, 2 days to 53 months), and from MH diagnosis to MH repair, the median time was 1.75 months (range, 3 weeks to 8 months). Of 16 eyes (89%) that underwent surgical repair of the MH, 14 achieved MH closure, 1 requiring multiple pars plana vitrectomy, and 11 saw at least 1 Snellen line of improvement (median, 1; range, 1 to 6); 2 lost vision (1 and 2 Snellen lines, respectively); and 3 remained unchanged at a median follow-up of 3 months (range, 1 month to 25 months). Of the 18 patients, 6 had at least 20/80 BCVA at last follow-up. Conclusions: MHs following RDs (incidence 1.9%) are likely to be macula-off RDs requiring multiple interventions for RD repair. Post-MH-repair closure rates are similar to the rates for idiopathic MHs. BCVA outcomes are moderate and are dependent on impairment post-RD repair. The findings suggest other pathogenic mechanisms besides vitreofoveal traction may be leading to these MHs. © 2012 Canadian Ophthalmological Society. |
Persistent Identifier | http://hdl.handle.net/10722/228148 |
ISSN | 2023 Impact Factor: 3.3 2023 SCImago Journal Rankings: 0.753 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Schlenker, Matthew B. | - |
dc.contributor.author | Lam, Wai Ching | - |
dc.contributor.author | Devenyi, Robert G. | - |
dc.contributor.author | Kertes, Peter J. | - |
dc.date.accessioned | 2016-08-01T06:45:18Z | - |
dc.date.available | 2016-08-01T06:45:18Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | Canadian Journal of Ophthalmology, 2012, v. 47, n. 5, p. 435-441 | - |
dc.identifier.issn | 0008-4182 | - |
dc.identifier.uri | http://hdl.handle.net/10722/228148 | - |
dc.description.abstract | Objective: To present the characteristics and outcomes of macular holes (MHs) that arise in eyes that have been treated for retinal detachment (RD). Design: Retrospective, interventional, consecutive case series. Participants: We studied 18 eyes that developed a MH following RD repair. Methods: We report the demographic and clinical characteristics, MH closure rates, and best corrected visual acuity (BCVA) following MH repair. Results: We detected 18 full-thickness MHs in 985 eyes. In 14 of 18, the original RD involved the macula, and in 16 of 18, the BCVA was 20/200 or worse. Of the RDs, 8 of 18 required multiple procedures to achieve reattachment. Post-RD BCVA was 20/200 or worse in 15 of 18 patients. The median time to MH diagnosis after RD repair was 1 month (range, 2 days to 53 months), and from MH diagnosis to MH repair, the median time was 1.75 months (range, 3 weeks to 8 months). Of 16 eyes (89%) that underwent surgical repair of the MH, 14 achieved MH closure, 1 requiring multiple pars plana vitrectomy, and 11 saw at least 1 Snellen line of improvement (median, 1; range, 1 to 6); 2 lost vision (1 and 2 Snellen lines, respectively); and 3 remained unchanged at a median follow-up of 3 months (range, 1 month to 25 months). Of the 18 patients, 6 had at least 20/80 BCVA at last follow-up. Conclusions: MHs following RDs (incidence 1.9%) are likely to be macula-off RDs requiring multiple interventions for RD repair. Post-MH-repair closure rates are similar to the rates for idiopathic MHs. BCVA outcomes are moderate and are dependent on impairment post-RD repair. The findings suggest other pathogenic mechanisms besides vitreofoveal traction may be leading to these MHs. © 2012 Canadian Ophthalmological Society. | - |
dc.language | eng | - |
dc.relation.ispartof | Canadian Journal of Ophthalmology | - |
dc.title | Understanding macular holes that develop after repair of retinal detachment | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.jcjo.2012.05.001 | - |
dc.identifier.pmid | 23036545 | - |
dc.identifier.scopus | eid_2-s2.0-84869234506 | - |
dc.identifier.volume | 47 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 435 | - |
dc.identifier.epage | 441 | - |
dc.identifier.eissn | 1715-3360 | - |
dc.identifier.isi | WOS:000310417100010 | - |
dc.identifier.issnl | 0008-4182 | - |