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Korean journal of ophthalmology : KJO v.32 no.2, 2018년, pp.140 - 146   SCOPUS
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Visual Recovery after Macular Hole Surgery and Related Prognostic Factors

Kim, Soo Han    (Department of Ophthalmology, Yonsei University Wonju College of Medicine, Wonju, Korea.   ); Kim, Hong Kyu    (Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.   ); Yang, Jong Yun    (Siloam Eye Hospital, Seoul, Korea.   ); Lee, Sung Chul    (Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.   ); Kim, Sung Soo    (Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.  );
  • 초록

    Purpose To describe the visual recovery and prognostic factors after macular hole surgery. Methods A retrospective chart review was conducted. Charts of patients with idiopathic macular holes who underwent surgery by a single surgeon at Severance Hospital between January 1, 2013 and July 31, 2015 were reviewed. The best-corrected visual acuity (BCVA) score was recorded preoperatively and at 1 day and 1, 3, 6, 9, and 12 months after surgery. The variables of age, sex, macular hole size, basal hole diameter, choroidal thickness, and axial length were also noted. Results Twenty-six eyes of 26 patients were evaluated. Twenty-five patients (96.2%) showed successful macular hole closure after the primary operation. The BCVA stabilized 6 months postoperatively. A large basal hole diameter ( p = 0.006) and thin choroid ( p = 0.005) were related to poor visual outcomes. Poor preoperative BCVA ( p p = 0.020) were associated with greater improvement in BCVA after surgery. Conclusions Visual acuity stabilized by 6 months after macular hole surgery. Choroidal thickness was a protective factor for final BCVA and visual improvement after the operation.


  • 주제어

    Choroid .   Retinal perforations .   Visual acuity .   Vitrectomy.  

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