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 language | English |
|---|---|
| Pages (from-to) | 212-216 |
| Number of pages | 5 |
| Journal | European Journal of Ophthalmology |
| Volume | 9 |
| Issue number | 3 |
| Publication status | Published - Jul 1999 |
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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 journal › Article
}
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 -