PMID- 20970769
OWN - NLM
STAT- MEDLINE
DCOM- 20110121
LR  - 20220409
IS  - 1879-1891 (Electronic)
IS  - 0002-9394 (Linking)
VI  - 151
IP  - 1
DP  - 2011 Jan
TI  - Axial length and outcomes of macular hole surgery assessed by spectral-domain 
      optical coherence tomography.
PG  - 118-127.e1
LID - 10.1016/j.ajo.2010.07.007 [doi]
AB  - PURPOSE: To use spectral-domain optical coherence tomography (SD OCT) to evaluate 
      macular hole surgery outcomes and features predicting anatomic failure. DESIGN: 
      Retrospective, interventional case series. METHODS: Fifty-two eyes of 50 
      consecutive patients with macular holes were examined. All eyes underwent 3-port 
      pars plana vitrectomy with internal limiting membrane peeling. Eyes were examined 
      after surgery by dense serial SD OCT scanning over the macula. RESULTS: Eyes with 
      initial anatomic failure were significantly more likely to have greater axial 
      length and refractive error and more posterior staphyloma compared with eyes with 
      initial anatomic success (P = .031 to .0060, < .0001). Overall initial and final 
      anatomic success rates were 92.3% (48 of 52 eyes). In highly myopic eyes with 
      axial lengths of 26.0 mm or more, initial and final success rates were 73.3% (11 
      of 15 eyes) compared with 100.0% (37 of 37 eyes) of eyes with axial lengths of 
      less than 26.0 mm (P = .0050). In highly myopic eyes, initial and final success 
      rates were 0% (0 of 3 eyes) of eyes with axial lengths of 30.0 mm or more 
      compared with 91.7% (11 of 12 eyes) of eyes with axial lengths of 26.0 mm or more 
      and of less than 30.0 mm (P < .0001). Retinoschisis-like thickening of the outer 
      retina was seen in 3 (75.0%) of 4 eyes with initial failure compared with 3 
      (6.3%) of 48 eyes with initial success (P = .0030). CONCLUSIONS: Axial length of 
      30.0 mm or more may increase the risk of anatomic failure of macular hole 
      surgery.
CI  - Copyright (c) 2011 Elsevier Inc. All rights reserved.
FAU - Suda, Kenji
AU  - Suda K
AD  - Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School 
      of Medicine, Japan.
FAU - Hangai, Masanori
AU  - Hangai M
FAU - Yoshimura, Nagahisa
AU  - Yoshimura N
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am J Ophthalmol
JT  - American journal of ophthalmology
JID - 0370500
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Axial Length, Eye/*pathology
MH  - Basement Membrane/surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prone Position
MH  - Retinal Perforations/*diagnosis/*surgery
MH  - Retrospective Studies
MH  - *Tomography, Optical Coherence
MH  - Tonometry, Ocular
MH  - Treatment Outcome
MH  - Visual Acuity/physiology
MH  - *Vitrectomy
EDAT- 2010/10/26 06:00
MHDA- 2011/01/22 06:00
CRDT- 2010/10/26 06:00
PHST- 2010/02/19 00:00 [received]
PHST- 2010/07/06 00:00 [revised]
PHST- 2010/07/09 00:00 [accepted]
PHST- 2010/10/26 06:00 [entrez]
PHST- 2010/10/26 06:00 [pubmed]
PHST- 2011/01/22 06:00 [medline]
AID - S0002-9394(10)00533-7 [pii]
AID - 10.1016/j.ajo.2010.07.007 [doi]
PST - ppublish
SO  - Am J Ophthalmol. 2011 Jan;151(1):118-127.e1. doi: 10.1016/j.ajo.2010.07.007.