Idiopathic macular hole with extensive subretinal fluid: Clinical and optical coherence tomography features before and after surgery

John W. Kitchens, Harry W Flynn, Andrew A. Moshfeghi, Carmen A. Puliafito

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: To report clinical and optical coherence tomography (OCT) features in patients with idiopathic macular hole and extensive subretinal fluid (extending at least 1 disk diameter from the center of the hole). Design: Retrospective, consecutive, noncomparative case series. Methods: The case records of two patients with idiopathic macular holes with extensive subretinal fluid were reviewed. Results: Both patients presented with reduced visual acuity (20/200 and 20/400). OCT demonstrated attachment of the posterior hyaloid to the inner retina, a full-thickness macular hole, cystoid macular edema (CME), and extensive subretinal fluid. After surgery, both patients achieved macular hole closure and improvement in visual acuity (20/60 and 20/30). Postoperatively, OCT showed a normal foveal contour, complete hole closure, and resolution of the CME and subretinal fluid. Conclusions: In patients with macular hole and extensive subretinal fluid, improved visual acuity and hole closure can be achieved. Preoperative OCT in these patients demonstrates vitreoretinal interface abnormalities, CME, and extensive subretinal fluid. These changes resolve postoperatively.

Original languageEnglish
Pages (from-to)383-386
Number of pages4
JournalAmerican Journal of Ophthalmology
Volume139
Issue number2
DOIs
StatePublished - Feb 1 2005

Fingerprint

Subretinal Fluid
Retinal Perforations
Optical Coherence Tomography
Macular Edema
Visual Acuity
Retina

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Idiopathic macular hole with extensive subretinal fluid : Clinical and optical coherence tomography features before and after surgery. / Kitchens, John W.; Flynn, Harry W; Moshfeghi, Andrew A.; Puliafito, Carmen A.

In: American Journal of Ophthalmology, Vol. 139, No. 2, 01.02.2005, p. 383-386.

Research output: Contribution to journalArticle

@article{a9a551501df84224837f46e99129897d,
title = "Idiopathic macular hole with extensive subretinal fluid: Clinical and optical coherence tomography features before and after surgery",
abstract = "Purpose: To report clinical and optical coherence tomography (OCT) features in patients with idiopathic macular hole and extensive subretinal fluid (extending at least 1 disk diameter from the center of the hole). Design: Retrospective, consecutive, noncomparative case series. Methods: The case records of two patients with idiopathic macular holes with extensive subretinal fluid were reviewed. Results: Both patients presented with reduced visual acuity (20/200 and 20/400). OCT demonstrated attachment of the posterior hyaloid to the inner retina, a full-thickness macular hole, cystoid macular edema (CME), and extensive subretinal fluid. After surgery, both patients achieved macular hole closure and improvement in visual acuity (20/60 and 20/30). Postoperatively, OCT showed a normal foveal contour, complete hole closure, and resolution of the CME and subretinal fluid. Conclusions: In patients with macular hole and extensive subretinal fluid, improved visual acuity and hole closure can be achieved. Preoperative OCT in these patients demonstrates vitreoretinal interface abnormalities, CME, and extensive subretinal fluid. These changes resolve postoperatively.",
author = "Kitchens, {John W.} and Flynn, {Harry W} and Moshfeghi, {Andrew A.} and Puliafito, {Carmen A.}",
year = "2005",
month = "2",
day = "1",
doi = "10.1016/j.ajo.2004.08.030",
language = "English",
volume = "139",
pages = "383--386",
journal = "American Journal of Ophthalmology",
issn = "0002-9394",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Idiopathic macular hole with extensive subretinal fluid

T2 - Clinical and optical coherence tomography features before and after surgery

AU - Kitchens, John W.

AU - Flynn, Harry W

AU - Moshfeghi, Andrew A.

AU - Puliafito, Carmen A.

PY - 2005/2/1

Y1 - 2005/2/1

N2 - Purpose: To report clinical and optical coherence tomography (OCT) features in patients with idiopathic macular hole and extensive subretinal fluid (extending at least 1 disk diameter from the center of the hole). Design: Retrospective, consecutive, noncomparative case series. Methods: The case records of two patients with idiopathic macular holes with extensive subretinal fluid were reviewed. Results: Both patients presented with reduced visual acuity (20/200 and 20/400). OCT demonstrated attachment of the posterior hyaloid to the inner retina, a full-thickness macular hole, cystoid macular edema (CME), and extensive subretinal fluid. After surgery, both patients achieved macular hole closure and improvement in visual acuity (20/60 and 20/30). Postoperatively, OCT showed a normal foveal contour, complete hole closure, and resolution of the CME and subretinal fluid. Conclusions: In patients with macular hole and extensive subretinal fluid, improved visual acuity and hole closure can be achieved. Preoperative OCT in these patients demonstrates vitreoretinal interface abnormalities, CME, and extensive subretinal fluid. These changes resolve postoperatively.

AB - Purpose: To report clinical and optical coherence tomography (OCT) features in patients with idiopathic macular hole and extensive subretinal fluid (extending at least 1 disk diameter from the center of the hole). Design: Retrospective, consecutive, noncomparative case series. Methods: The case records of two patients with idiopathic macular holes with extensive subretinal fluid were reviewed. Results: Both patients presented with reduced visual acuity (20/200 and 20/400). OCT demonstrated attachment of the posterior hyaloid to the inner retina, a full-thickness macular hole, cystoid macular edema (CME), and extensive subretinal fluid. After surgery, both patients achieved macular hole closure and improvement in visual acuity (20/60 and 20/30). Postoperatively, OCT showed a normal foveal contour, complete hole closure, and resolution of the CME and subretinal fluid. Conclusions: In patients with macular hole and extensive subretinal fluid, improved visual acuity and hole closure can be achieved. Preoperative OCT in these patients demonstrates vitreoretinal interface abnormalities, CME, and extensive subretinal fluid. These changes resolve postoperatively.

UR - http://www.scopus.com/inward/record.url?scp=14244257346&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=14244257346&partnerID=8YFLogxK

U2 - 10.1016/j.ajo.2004.08.030

DO - 10.1016/j.ajo.2004.08.030

M3 - Article

C2 - 15734018

AN - SCOPUS:14244257346

VL - 139

SP - 383

EP - 386

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

SN - 0002-9394

IS - 2

ER -