2M.D. Associate Professor, Baskent University, Medical Faculty, Department of Ophthalmology, Ankara/TURKEY
3M.D. Professor, Baskent University, Medical Faculty, Department of Ophthalmology, Ankara/TURKEY Purpose: To evaluate central macular thickness, photoreceptor iner segment/outer segment (IS/OS) junction and external limiting membrane of patients who were operated for macular hole and to investigate if these parameters are correlated with visual acuity.
Materials and Methods: 25 eyes of 25 patients who were operated for macular hole during 2009-2012 were included in this study. Peroperative and postoperative best corrected visual acuities, central maculer thickness and optical cohorence tomography findings were evaluated retrospectively.
Results: The mean best spectacle-corrected visual acuity was 00.14±0.1 preoperatively and was 0.3±0.18 postoperatively. Postoperative recovery of the external limiting membrane (ELM) was observed in all eyes. IS-OS junction integrity was ensured in 15 eyes (%60) but IS-OS junction defect was still present in 10 eyes (40%). When these 2 groups were compared for BCVA, there was no statistically significant difference between preoperative values (p=0.68) but a significant differences was present for postoperative values (p=0.0005).
Conclusion: Ensuring the integrity of photoreceptor cells after surgery for macular hole has an effect on the visual prognosis.
Keywords : Macular hole, photoreceptor inner and outer segment, external limiting membrane, optical coherence tomography