Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure
Purpose. To evaluate the restoration of the ellipsoid zone (EZ) and its influence on visual prognosis 1 year after surgical macular hole (MH) closure. Method. Subjects were patients with stage 2, 3, or 4 idiopathic MH who underwent primary vitrectomy that resulted in successful hole closure. Ninetee...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2016/1769794 |
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| author | Hiruma Hasebe Naoki Matsuoka Hiroko Terashima Ryo Sasaki Eriko Ueda Takeo Fukuchi |
| author_facet | Hiruma Hasebe Naoki Matsuoka Hiroko Terashima Ryo Sasaki Eriko Ueda Takeo Fukuchi |
| author_sort | Hiruma Hasebe |
| collection | DOAJ |
| description | Purpose. To evaluate the restoration of the ellipsoid zone (EZ) and its influence on visual prognosis 1 year after surgical macular hole (MH) closure. Method. Subjects were patients with stage 2, 3, or 4 idiopathic MH who underwent primary vitrectomy that resulted in successful hole closure. Nineteen eyes with both EZ disruption with foveal detachment and a continuous external limiting membrane on optical coherence tomography during the early postoperative period were included in this study. Result. EZ disruption was restored in 10 eyes (53%, Group A) and remained in 9 eyes (47%, Group B) at 1 year after surgery. In Group B, the diameter of the residual EZ disruption was 54.7±33.1 μm. LogMAR visual acuity (VA) 1 year after surgery was significantly better than preoperative VA in each group (Group A: -0.007±0.102; P<0.001; Group B: 0.051±0.148; P<0.001), but there was no significant difference between the 2 groups (P=0.332). There was no significant correlation between logMAR VA and EZ disruption diameter at 1 year after surgery. Conclusion. EZ was restored in 53% of eyes at 1 year after surgical closure of idiopathic MH. Mean residual EZ disruption diameter was 54.7±33.1 μm. Neither resolved nor residual EZ disruption influenced postoperative VA. |
| format | Article |
| id | doaj-art-31c70f4c9a0f4335884f041464673d98 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-31c70f4c9a0f4335884f041464673d982025-02-03T05:51:00ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/17697941769794Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole ClosureHiruma Hasebe0Naoki Matsuoka1Hiroko Terashima2Ryo Sasaki3Eriko Ueda4Takeo Fukuchi5Division of Ophthalmology and Visual Science, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 9518510, JapanDivision of Ophthalmology and Visual Science, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 9518510, JapanDivision of Ophthalmology and Visual Science, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 9518510, JapanDivision of Ophthalmology and Visual Science, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 9518510, JapanDivision of Ophthalmology and Visual Science, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 9518510, JapanDivision of Ophthalmology and Visual Science, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 9518510, JapanPurpose. To evaluate the restoration of the ellipsoid zone (EZ) and its influence on visual prognosis 1 year after surgical macular hole (MH) closure. Method. Subjects were patients with stage 2, 3, or 4 idiopathic MH who underwent primary vitrectomy that resulted in successful hole closure. Nineteen eyes with both EZ disruption with foveal detachment and a continuous external limiting membrane on optical coherence tomography during the early postoperative period were included in this study. Result. EZ disruption was restored in 10 eyes (53%, Group A) and remained in 9 eyes (47%, Group B) at 1 year after surgery. In Group B, the diameter of the residual EZ disruption was 54.7±33.1 μm. LogMAR visual acuity (VA) 1 year after surgery was significantly better than preoperative VA in each group (Group A: -0.007±0.102; P<0.001; Group B: 0.051±0.148; P<0.001), but there was no significant difference between the 2 groups (P=0.332). There was no significant correlation between logMAR VA and EZ disruption diameter at 1 year after surgery. Conclusion. EZ was restored in 53% of eyes at 1 year after surgical closure of idiopathic MH. Mean residual EZ disruption diameter was 54.7±33.1 μm. Neither resolved nor residual EZ disruption influenced postoperative VA.http://dx.doi.org/10.1155/2016/1769794 |
| spellingShingle | Hiruma Hasebe Naoki Matsuoka Hiroko Terashima Ryo Sasaki Eriko Ueda Takeo Fukuchi Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure Journal of Ophthalmology |
| title | Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure |
| title_full | Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure |
| title_fullStr | Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure |
| title_full_unstemmed | Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure |
| title_short | Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure |
| title_sort | restoration of the ellipsoid zone and visual prognosis at 1 year after surgical macular hole closure |
| url | http://dx.doi.org/10.1155/2016/1769794 |
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