Morphological evaluation of full-thickness idiopathic macular holes by optical coherence tomography

G. Ripandelli, A. M. Coppé, S. Bonini, R. Giannini, S. Curci, E. Costi, M. Stirpe

Research output: Contribution to journalArticle

Abstract

Purpose. To assess the efficacy of optical coherence tomography (OCT) for the morphological evaluation of idiopathic full-thickness macular holes and for detecting any morphological changes with time. Methods. Serial sagittal tomographs through the macula were taken by OCT in a consecutive series of 34 eyes of 34 patients with diagnosis of idiopathic full-thickness macular hole. The patients were divided into two groups on the basis of 'recent' ('group 1, 25 patients) or 'not-recent' (group 2, 9 patients) onset of symptoms related to the macular hole. Fourteen of the 25 patients in group 1 and all nine in group 2 underwent vitrectomy. The 11 in group I who refused surgery were observed by OCT examination with follow-up from 6 to 13 months. Results. In most eyes OCT scans revealed two different anatomical features of macular holes depending on the time of onset of symptoms. Eleven of the 14 'recent-onset' holes that underwent surgery showed 'sharp', undermining edges at preoperative OCT; the other three had 'rounded' edges. Seven of the nine eyes operated for long-standing full-thickness macular holes had preoperative 'rounded' edges, while the edges in the remaining two eyes were 'sharp'. OCT of eight of the 11 non-operated eyes in group I showed a morphological evolution of the macular hole edges from a 'sharp' to a 'rounded' contour and an increase in the diameter of the hole. Conclusions. OCT can help in the morphological evaluation of idiopathic full-thickness macular holes and in the detection of morphological changes with time.

Original languageEnglish
Pages (from-to)212-216
Number of pages5
JournalEuropean Journal of Ophthalmology
Volume9
Issue number3
Publication statusPublished - Jul 1999

Fingerprint

Retinal Perforations
Optical Coherence Tomography
Vitrectomy

Keywords

  • Macular holes
  • Optical coherence tomography
  • Vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Morphological evaluation of full-thickness idiopathic macular holes by optical coherence tomography. / Ripandelli, G.; Coppé, A. M.; Bonini, S.; Giannini, R.; Curci, S.; Costi, E.; Stirpe, M.

In: European Journal of Ophthalmology, Vol. 9, No. 3, 07.1999, p. 212-216.

Research output: Contribution to journalArticle

Ripandelli, G. ; Coppé, A. M. ; Bonini, S. ; Giannini, R. ; Curci, S. ; Costi, E. ; Stirpe, M. / Morphological evaluation of full-thickness idiopathic macular holes by optical coherence tomography. In: European Journal of Ophthalmology. 1999 ; Vol. 9, No. 3. pp. 212-216.
@article{43f080dd21774baabb87fae0b554b22c,
title = "Morphological evaluation of full-thickness idiopathic macular holes by optical coherence tomography",
abstract = "Purpose. To assess the efficacy of optical coherence tomography (OCT) for the morphological evaluation of idiopathic full-thickness macular holes and for detecting any morphological changes with time. Methods. Serial sagittal tomographs through the macula were taken by OCT in a consecutive series of 34 eyes of 34 patients with diagnosis of idiopathic full-thickness macular hole. The patients were divided into two groups on the basis of 'recent' ('group 1, 25 patients) or 'not-recent' (group 2, 9 patients) onset of symptoms related to the macular hole. Fourteen of the 25 patients in group 1 and all nine in group 2 underwent vitrectomy. The 11 in group I who refused surgery were observed by OCT examination with follow-up from 6 to 13 months. Results. In most eyes OCT scans revealed two different anatomical features of macular holes depending on the time of onset of symptoms. Eleven of the 14 'recent-onset' holes that underwent surgery showed 'sharp', undermining edges at preoperative OCT; the other three had 'rounded' edges. Seven of the nine eyes operated for long-standing full-thickness macular holes had preoperative 'rounded' edges, while the edges in the remaining two eyes were 'sharp'. OCT of eight of the 11 non-operated eyes in group I showed a morphological evolution of the macular hole edges from a 'sharp' to a 'rounded' contour and an increase in the diameter of the hole. Conclusions. OCT can help in the morphological evaluation of idiopathic full-thickness macular holes and in the detection of morphological changes with time.",
keywords = "Macular holes, Optical coherence tomography, Vitrectomy",
author = "G. Ripandelli and Copp{\'e}, {A. M.} and S. Bonini and R. Giannini and S. Curci and E. Costi and M. Stirpe",
year = "1999",
month = "7",
language = "English",
volume = "9",
pages = "212--216",
journal = "European Journal of Ophthalmology",
issn = "1120-6721",
publisher = "Wichtig Publishing",
number = "3",

}

TY - JOUR

T1 - Morphological evaluation of full-thickness idiopathic macular holes by optical coherence tomography

AU - Ripandelli, G.

AU - Coppé, A. M.

AU - Bonini, S.

AU - Giannini, R.

AU - Curci, S.

AU - Costi, E.

AU - Stirpe, M.

PY - 1999/7

Y1 - 1999/7

N2 - Purpose. To assess the efficacy of optical coherence tomography (OCT) for the morphological evaluation of idiopathic full-thickness macular holes and for detecting any morphological changes with time. Methods. Serial sagittal tomographs through the macula were taken by OCT in a consecutive series of 34 eyes of 34 patients with diagnosis of idiopathic full-thickness macular hole. The patients were divided into two groups on the basis of 'recent' ('group 1, 25 patients) or 'not-recent' (group 2, 9 patients) onset of symptoms related to the macular hole. Fourteen of the 25 patients in group 1 and all nine in group 2 underwent vitrectomy. The 11 in group I who refused surgery were observed by OCT examination with follow-up from 6 to 13 months. Results. In most eyes OCT scans revealed two different anatomical features of macular holes depending on the time of onset of symptoms. Eleven of the 14 'recent-onset' holes that underwent surgery showed 'sharp', undermining edges at preoperative OCT; the other three had 'rounded' edges. Seven of the nine eyes operated for long-standing full-thickness macular holes had preoperative 'rounded' edges, while the edges in the remaining two eyes were 'sharp'. OCT of eight of the 11 non-operated eyes in group I showed a morphological evolution of the macular hole edges from a 'sharp' to a 'rounded' contour and an increase in the diameter of the hole. Conclusions. OCT can help in the morphological evaluation of idiopathic full-thickness macular holes and in the detection of morphological changes with time.

AB - Purpose. To assess the efficacy of optical coherence tomography (OCT) for the morphological evaluation of idiopathic full-thickness macular holes and for detecting any morphological changes with time. Methods. Serial sagittal tomographs through the macula were taken by OCT in a consecutive series of 34 eyes of 34 patients with diagnosis of idiopathic full-thickness macular hole. The patients were divided into two groups on the basis of 'recent' ('group 1, 25 patients) or 'not-recent' (group 2, 9 patients) onset of symptoms related to the macular hole. Fourteen of the 25 patients in group 1 and all nine in group 2 underwent vitrectomy. The 11 in group I who refused surgery were observed by OCT examination with follow-up from 6 to 13 months. Results. In most eyes OCT scans revealed two different anatomical features of macular holes depending on the time of onset of symptoms. Eleven of the 14 'recent-onset' holes that underwent surgery showed 'sharp', undermining edges at preoperative OCT; the other three had 'rounded' edges. Seven of the nine eyes operated for long-standing full-thickness macular holes had preoperative 'rounded' edges, while the edges in the remaining two eyes were 'sharp'. OCT of eight of the 11 non-operated eyes in group I showed a morphological evolution of the macular hole edges from a 'sharp' to a 'rounded' contour and an increase in the diameter of the hole. Conclusions. OCT can help in the morphological evaluation of idiopathic full-thickness macular holes and in the detection of morphological changes with time.

KW - Macular holes

KW - Optical coherence tomography

KW - Vitrectomy

UR - http://www.scopus.com/inward/record.url?scp=0032717030&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032717030&partnerID=8YFLogxK

M3 - Article

C2 - 10544977

AN - SCOPUS:0032717030

VL - 9

SP - 212

EP - 216

JO - European Journal of Ophthalmology

JF - European Journal of Ophthalmology

SN - 1120-6721

IS - 3

ER -