gms | German Medical Science

22. Internationaler Kongress der Deutschen Ophthalmochirurgen

18. bis 21.06.2009, Nürnberg

Spectral Optical Coherence Tomography of surgically closed macular holes

Meeting Abstract

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  • Zofia Michalewska - Ophthalmologische Klinik "Jasne Blonia", Lodz, Polen
  • Janusz Michalewski - Ophthalmologische Klinik "Jasne Blonia", Lodz, Polen
  • Jerzy Nawrocki - Ophthalmologische Klinik "Jasne Blonia", Lodz, Polen

22. Internationaler Kongress der Deutschen Ophthalmochirurgen. Nürnberg, 18.-21.06.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09docWK 4a.6

doi: 10.3205/09doc138, urn:nbn:de:0183-09doc1387

Veröffentlicht: 9. Juli 2009

© 2009 Michalewska et al.
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Purpose: To evaluate macular hole morphology after successful vitrectomy.

Methods: 68 eyes of 60 patients with a macular hole diagnosed with Spectral OCT underwent pars plana vitrectomy with ILM peeling and air injection. Postoperatively Spectral OCT examinations were performed 1 week, 1 month and then every 3 months after surgery. Pathologies in particular retinal layers were noted and evaluated over time.

Results: Postoperative visual acuity was mostly influenced by photoreceptor defects, cystoids spaces in the outer retinal layers and nerve fibre layer defects.

Photoreceptor defects were noted in 42.6% of cases during the first postoperative control. Their size decreased in 23% of cases and they completely disappeared in 8.9% of cases. Cystoid spaces were noted in 21% of cases. During the follow up they flattened or completely disappeared in 18.48 % of cases. Nerve fibre layer defects were noted in 54% of cases and disappeared during the follow up in 4%.

Conclusions: Vision improvement during 12 months following surgery in macular holes can be explained with Spectral OCT outcomes presenting diminishing of retinal abnormalities in months next to macular hole surgery.