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Idiopathic macular hole: post-operative morpho-functional assessment and prognostic factors for recovery of visual acuity

By Flavio Tirelli, Paola Sasso and Andrea Scupola

Abstract

INTRODUCTION: Idiopathic macular hole (MH) is a full-thickness retinal damage typical of the advanced age with a high social impact because, as it affects the macula, it produces severe loss of vision. AIM: This study aims to evaluate the therapeutic efficacy of surgery and to determine prognostic factors, considering how hypovision weighs on individual quality of life and on public health. METHODS: All patients affected by MH were evaluated with an ophthalmic visit, measurement of visual acuity and Optical Coherence Tomography (OCT) documentation before surgical intervention. Surgical treatment followed and, subsequently, all the patients were examined with the same documentation at 7 days, 1 month, 3 months, 6 months and 12 months. RESULTS: Surgical therapy, with the modern techniques available, demonstrated the efficacy of anatomical recovery and retinal function. Furthermore, the quantitative characteristics of the MH in the OCT scanning revealed an important prognostic function

Topics: macular hole, optical coherencetomography (OCT), visual outcome, Public aspects of medicine, RA1-1270
Publisher: Istituto Superiore di Sanità
DOI identifier: 10.4415/ANN_13_03_14
OAI identifier: oai:doaj.org/article:f11182eefcbe481bb67ebce5bb2ea3ce
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