Optical coherence tomography of uccefully repaired idiopathic macular hole Original Reearch Article

PURPOE: To preent the cro-ectional retinal imaging reult of optical coherence tomography in eye with uccefully repaired idiopathic macular hole and their relevance to viual recovery. METHOD: We tudied 33 eye with ucceful repair of an idiopathic macular hole through vitrectomy and fluid-ga exchange from 32 patient (11 men and 21 women) with age ranging from 48 to 78 year, with a median age of 66 year. Preoperative condition in eye with primary urgery dicloed nine eye with tage 2, 14 eye with tage 3, and four eye with tage 4 macular hole. An additional ix eye underwent a econd urgery becaue the previou urgery wa unucceful. Meaurement of bet-corrected viual acuity, lit-lamp biomicrocopy with fundu contact len, fundu photograph, and optical coherence tomographic examination were performed between 6 and 9 month after urgery in 29 eye and between 15 and 36 month after urgery in four eye. REULT: Optical coherence tomographic image of the repaired macular hole were categorized into three pattern. U-type (normal foveal contour; 13 eye) howed mildly to moderately backcattering layer with a mooth circular urface covering retinal pigment epithelium and choriocapillari layer. In eye with V-type (teep foveal contour; 13 eye), the retinal pigment epithelium and choriocapillari layer were covered with moderately backcattering layer with a notch. W-type (foveal defect of neuroenory retina; even eye) howed abruptly or gradually terminating enory retinal layer to expoe the urface of the retinal pigment epithelium and choriocapillari layer. Potoperative acuity wa well correlated with thee pattern of optical coherence tomographic image. CONCLUION: Aement of uccefully repaired idiopathic macular hole with optical coherence tomographic image provide a ueful correlation with potoperative viual recovery.