Development of macular pseudoholes: A 36-month period of follow-up

Monica Varano, Cecilia Scassa, Nicoletta Capaldo, Marta Sciamanna, Vincenzo Parisi

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To assess the changes in visual acuity and macular sensitivity and the possible evolution into a full-thickness macular hole in patients with macular pseudoholes during a 3-year follow-up period. Methods: Twenty-seven eyes (mean age, 61.0 ± 8.9 years) with macular pseudoholes were enrolled. They were compared with 16 eyes from 16 age-matched control eyes. In each eye with a macular pseudohole, we assessed the Snellen visual acuity and macular sensitivity by scanning laser ophthalmoscopic central (1-2° of the macula, SLO-CM) and paracentral (annular area from 2-7° from the macula, SLO-PM) microperimetry at the time of diagnosis (baseline condition) and every 6 months for 3 years. Results: Eyes with macular pseudoholes at baseline had a significant (P <0.05) reduction in visual acuity, SLO-CM, and SLO-PM when compared with control eyes. After 12 months of follow-up, no changes in VA, SLO-CM, or SLO-PM were observed in eyes with macular pseudoholes with respect to the baseline values. After 36 months of follow-up, further significant (P <0.05) decreases in visual acuity, SLO-CM, and SLO-PM were observed. One third of eyes with macular pseudoholes showed an evolution into a full-thickness macular hole. In these eyes, the lowest SLO-CM had been observed at the baseline condition. Conclusion: This study suggests that in the 36-month follow-up period in eyes with macular pseudoholes, there is the possibility of a worsening trend, leading to the development of a full-thickness macular hole. A useful role of the functional assessment by SLO-CM and SLO-PM can be suggested for the clinical diagnosis and the follow-up of macular pseudoholes.

Original languageEnglish
Pages (from-to)435-442
Number of pages8
JournalRetina
Volume22
Issue number4
Publication statusPublished - Aug 2002

Keywords

  • Macular hole
  • Macular pseudohole
  • Scanning laser ophthalmoscope
  • Scanning laser ophthalmoscopic microperimetry

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

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