Irregularity of photoreceptor layer after successful macular hole surgery prevents visual acuity improvement

被引:65
作者
Kitaya, N [1 ]
Hikichi, T [1 ]
Kagokawa, H [1 ]
Takamiya, A [1 ]
Takahashi, A [1 ]
Yoshida, A [1 ]
机构
[1] Asahikawa Med Coll, Dept Ophthalmol, Asahikawa, Hokkaido 0788318, Japan
关键词
D O I
10.1016/j.ajo.2004.03.004
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To investigate the association between a photoreceptor irregularity and visual acuity (VA) after macular hole (MH) surgery. DESIGN: Prospective observational case series. METHODS: Twenty-four eyes with an idiopathic MH that resolved after vitreous surgery were examined by new optical coherence tomography (OCT 3000). The images were divided into regular photoreceptor, detected as a straight line above the retinal pigment epithelium reflex, and irregular, which cannot be detected by it. RESULTS: Regular images were observed in 12 eyes (80%) and irregular images in 3 eyes (20%) with good VA (greater than or equal to0.7). Regular images were seen in 3 eyes (33%) and irregular images in 6 eyes (67%) with poor VA (<0.7). The percentage of regular images in the group with good VA was significantly higher than that in the group with poor VA (P < .05). CONCLUSION: A photoreceptor irregularity after MH surgery may prevent VA improvement. (C) 2004 by Elsevier Inc. All rights reserved.
引用
收藏
页码:308 / 310
页数:3
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