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.
N1 - Funding Information:
Supported in part by Research to Prevent Blindness, Inc., New York, New York.
PY - 2005/2
Y1 - 2005/2
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.
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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 -