PMID- 33342195 OWN - NLM STAT- MEDLINE DCOM- 20210901 LR - 20210901 IS - 2149-8709 (Electronic) IS - 2149-8695 (Print) IS - 2149-8709 (Linking) VI - 50 IP - 5 DP - 2020 Oct 30 TI - Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery. PG - 283-287 LID - 10.4274/tjo.galenos.2020.21456 [doi] AB - OBJECTIVES: To assess changes in reflectivity of the retinal pigment epithelium (RPE), ellipsoid zone (EZ), and external limiting membrane (ELM) on spectral domain-optical coherence tomography (SD-OCT) images and the effects of reflectivity changes on visual acuity improvement after vitrectomy in macular hole patients. MATERIALS AND METHODS: Twenty-four eyes of 24 patients with idiopathic full-thickness macular hole closed after vitrectomy were retrospectively reviewed. The "plot profile" function of the medical imaging software was used by a single masked physician to analyze RPE, EZ, and ELM reflectivity on OCT images at postoperative 1 month and 12 months. RESULTS: Absolute and relative EZ reflectivity showed highly significant increases at postoperative 12 months compared to 1 month (p<0.001 and p<0.001, respectively). Absolute and relative EZ reflectivity changes from postoperative month 1 to month 12 after macular hole surgery were significantly correlated with best corrected visual acuity improvement (p=0.012 and p=0.020, respectively). CONCLUSION: EZ reflectivity can be a predictor of functional and anatomical improvement after macular hole surgery. FAU - Yilmaz Tugan, Busra AU - Yilmaz Tugan B AUID- ORCID: 0000-0001-6660-1608 AD - Kocaeli University Faculty of Medicine, Department of Ophthalmology, Kocaeli, Turkey. FAU - Karabas, Levent AU - Karabas L AUID- ORCID: 0000-0003-4271-4741 AD - Kocaeli University Faculty of Medicine, Department of Ophthalmology, Kocaeli, Turkey. FAU - Yenihayat, Fatih AU - Yenihayat F AUID- ORCID: 0000-0003-0872-6714 AD - Dunyagoz Kocaeli Hospital, Clinic of Ophthalmology, Kocaeli, Turkey. FAU - Subasi, Sevgi AU - Subasi S AUID- ORCID: 0000-0002-1099-9626 AD - Kocaeli University Faculty of Medicine, Department of Ophthalmology, Kocaeli, Turkey. FAU - Kesim, Enes AU - Kesim E AUID- ORCID: 0000-0002-0083-975X AD - Tuzla State Hospital, Clinic of Ophthalmology, Istanbul, Turkey. FAU - Ozkan, Berna AU - Ozkan B AUID- ORCID: 0000-0002-2212-4448 AD - Acibadem Mehmet Ali Aydinlar University Faculty of Medicine, Department of Ophthalmology, Istanbul, Turkey. LA - eng PT - Journal Article PL - Turkey TA - Turk J Ophthalmol JT - Turkish journal of ophthalmology JID - 101686048 SB - IM MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Postoperative Period MH - Recovery of Function/*physiology MH - Retinal Perforations/*physiopathology/surgery MH - Retinal Pigment Epithelium/*pathology MH - Retrospective Studies MH - Tomography, Optical Coherence/methods MH - Treatment Outcome MH - *Visual Acuity MH - Vitrectomy/*methods PMC - PMC7610054 OTO - NOTNLM OT - Absolute and relative reflectivity OT - ellipsoid zone reflectivity OT - macular hole OT - vitrectomy COIS- Conflict of Interest: No conflict of interest was declared by the authors. EDAT- 2020/12/22 06:00 MHDA- 2021/09/02 06:00 PMCR- 2020/10/01 CRDT- 2020/12/21 02:49 PHST- 2020/12/21 02:49 [entrez] PHST- 2020/12/22 06:00 [pubmed] PHST- 2021/09/02 06:00 [medline] PHST- 2020/10/01 00:00 [pmc-release] AID - 41733 [pii] AID - 10.4274/tjo.galenos.2020.21456 [doi] PST - ppublish SO - Turk J Ophthalmol. 2020 Oct 30;50(5):283-287. doi: 10.4274/tjo.galenos.2020.21456.