Surgery for idiopathic macular holes associated with extensive subretinal fluid

Homayoun Tabandeh, William E Smiddy, Mozart Mello, George Alexandrakis, Harry W Flynn, Zdenek Gregor, Joyce Schiffman

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: To study the baseline characteristics and outcomes of surgery for idiopathic macular holes associated with localized macular detachment. Methods: In this case-control study, eight consecutive patients with idiopathic macular hole associated with localized macular detachment (cases) and 30 randomly selected patients with idiopathic macular hole not associated with macular detachment underwent macular hole surgery. Results: The mean age (62.1 versus 68.2 years; P = 0.086), mean refractive error (-0.13 versus +0.23 diopters; P = 0.68), average duration of symptoms (5.9 versus 4.6 months; P = 0.47), and macular hole stage (P = 0.43) were similar in the cases and controls. The baseline visual acuity ranged from 20/50-20/80 (1 [13%] versus 1 [3%]) to 20/100-20/200 (2 [25%] versus 24 [80.0%]) to <20/200 (5 [63%] versus 5 [17%]) (P = 0.10). Single-operation anatomic success was achieved in 2 (25%) cases and 24 (80%) controls (P = 0.007). Visual acuity 3 months after the last macular hole surgery was worse in cases compared to controls: ≥20/40 in 0 versus 6 (20%), 20/50-20/80 in 1 (13%) versus 13 (43%), 20/100-20/200 in 4 (50%) versus 10 (33%), and <20/200 in 3 (38%) versus 1 (3%) (P = 0.003). The mean improvement in visual acuity was 0.2 logMAR units in cases versus 0.4 logMAR units in controls (P = 0.054). Conclusions: Surgical outcomes for idiopathic macular hole associated with a localized macular detachment compare poorly with the outcomes for macular hole not associated with extensive surrounding subretinal fluid.

Original languageEnglish
Pages (from-to)15-19
Number of pages5
JournalRetina
Volume21
Issue number1
StatePublished - Feb 24 2001

Fingerprint

Subretinal Fluid
Retinal Perforations
Visual Acuity
Refractive Errors
Case-Control Studies

Keywords

  • Macular hole
  • Retinal detachment
  • Subretinal fluid
  • Surgical outcome
  • Vision

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Tabandeh, H., Smiddy, W. E., Mello, M., Alexandrakis, G., Flynn, H. W., Gregor, Z., & Schiffman, J. (2001). Surgery for idiopathic macular holes associated with extensive subretinal fluid. Retina, 21(1), 15-19.

Surgery for idiopathic macular holes associated with extensive subretinal fluid. / Tabandeh, Homayoun; Smiddy, William E; Mello, Mozart; Alexandrakis, George; Flynn, Harry W; Gregor, Zdenek; Schiffman, Joyce.

In: Retina, Vol. 21, No. 1, 24.02.2001, p. 15-19.

Research output: Contribution to journalArticle

Tabandeh, H, Smiddy, WE, Mello, M, Alexandrakis, G, Flynn, HW, Gregor, Z & Schiffman, J 2001, 'Surgery for idiopathic macular holes associated with extensive subretinal fluid', Retina, vol. 21, no. 1, pp. 15-19.
Tabandeh H, Smiddy WE, Mello M, Alexandrakis G, Flynn HW, Gregor Z et al. Surgery for idiopathic macular holes associated with extensive subretinal fluid. Retina. 2001 Feb 24;21(1):15-19.
Tabandeh, Homayoun ; Smiddy, William E ; Mello, Mozart ; Alexandrakis, George ; Flynn, Harry W ; Gregor, Zdenek ; Schiffman, Joyce. / Surgery for idiopathic macular holes associated with extensive subretinal fluid. In: Retina. 2001 ; Vol. 21, No. 1. pp. 15-19.
@article{5fe581cdae7b4a578bb78ce1bd286f22,
title = "Surgery for idiopathic macular holes associated with extensive subretinal fluid",
abstract = "Purpose: To study the baseline characteristics and outcomes of surgery for idiopathic macular holes associated with localized macular detachment. Methods: In this case-control study, eight consecutive patients with idiopathic macular hole associated with localized macular detachment (cases) and 30 randomly selected patients with idiopathic macular hole not associated with macular detachment underwent macular hole surgery. Results: The mean age (62.1 versus 68.2 years; P = 0.086), mean refractive error (-0.13 versus +0.23 diopters; P = 0.68), average duration of symptoms (5.9 versus 4.6 months; P = 0.47), and macular hole stage (P = 0.43) were similar in the cases and controls. The baseline visual acuity ranged from 20/50-20/80 (1 [13{\%}] versus 1 [3{\%}]) to 20/100-20/200 (2 [25{\%}] versus 24 [80.0{\%}]) to <20/200 (5 [63{\%}] versus 5 [17{\%}]) (P = 0.10). Single-operation anatomic success was achieved in 2 (25{\%}) cases and 24 (80{\%}) controls (P = 0.007). Visual acuity 3 months after the last macular hole surgery was worse in cases compared to controls: ≥20/40 in 0 versus 6 (20{\%}), 20/50-20/80 in 1 (13{\%}) versus 13 (43{\%}), 20/100-20/200 in 4 (50{\%}) versus 10 (33{\%}), and <20/200 in 3 (38{\%}) versus 1 (3{\%}) (P = 0.003). The mean improvement in visual acuity was 0.2 logMAR units in cases versus 0.4 logMAR units in controls (P = 0.054). Conclusions: Surgical outcomes for idiopathic macular hole associated with a localized macular detachment compare poorly with the outcomes for macular hole not associated with extensive surrounding subretinal fluid.",
keywords = "Macular hole, Retinal detachment, Subretinal fluid, Surgical outcome, Vision",
author = "Homayoun Tabandeh and Smiddy, {William E} and Mozart Mello and George Alexandrakis and Flynn, {Harry W} and Zdenek Gregor and Joyce Schiffman",
year = "2001",
month = "2",
day = "24",
language = "English",
volume = "21",
pages = "15--19",
journal = "Retina",
issn = "0275-004X",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Surgery for idiopathic macular holes associated with extensive subretinal fluid

AU - Tabandeh, Homayoun

AU - Smiddy, William E

AU - Mello, Mozart

AU - Alexandrakis, George

AU - Flynn, Harry W

AU - Gregor, Zdenek

AU - Schiffman, Joyce

PY - 2001/2/24

Y1 - 2001/2/24

N2 - Purpose: To study the baseline characteristics and outcomes of surgery for idiopathic macular holes associated with localized macular detachment. Methods: In this case-control study, eight consecutive patients with idiopathic macular hole associated with localized macular detachment (cases) and 30 randomly selected patients with idiopathic macular hole not associated with macular detachment underwent macular hole surgery. Results: The mean age (62.1 versus 68.2 years; P = 0.086), mean refractive error (-0.13 versus +0.23 diopters; P = 0.68), average duration of symptoms (5.9 versus 4.6 months; P = 0.47), and macular hole stage (P = 0.43) were similar in the cases and controls. The baseline visual acuity ranged from 20/50-20/80 (1 [13%] versus 1 [3%]) to 20/100-20/200 (2 [25%] versus 24 [80.0%]) to <20/200 (5 [63%] versus 5 [17%]) (P = 0.10). Single-operation anatomic success was achieved in 2 (25%) cases and 24 (80%) controls (P = 0.007). Visual acuity 3 months after the last macular hole surgery was worse in cases compared to controls: ≥20/40 in 0 versus 6 (20%), 20/50-20/80 in 1 (13%) versus 13 (43%), 20/100-20/200 in 4 (50%) versus 10 (33%), and <20/200 in 3 (38%) versus 1 (3%) (P = 0.003). The mean improvement in visual acuity was 0.2 logMAR units in cases versus 0.4 logMAR units in controls (P = 0.054). Conclusions: Surgical outcomes for idiopathic macular hole associated with a localized macular detachment compare poorly with the outcomes for macular hole not associated with extensive surrounding subretinal fluid.

AB - Purpose: To study the baseline characteristics and outcomes of surgery for idiopathic macular holes associated with localized macular detachment. Methods: In this case-control study, eight consecutive patients with idiopathic macular hole associated with localized macular detachment (cases) and 30 randomly selected patients with idiopathic macular hole not associated with macular detachment underwent macular hole surgery. Results: The mean age (62.1 versus 68.2 years; P = 0.086), mean refractive error (-0.13 versus +0.23 diopters; P = 0.68), average duration of symptoms (5.9 versus 4.6 months; P = 0.47), and macular hole stage (P = 0.43) were similar in the cases and controls. The baseline visual acuity ranged from 20/50-20/80 (1 [13%] versus 1 [3%]) to 20/100-20/200 (2 [25%] versus 24 [80.0%]) to <20/200 (5 [63%] versus 5 [17%]) (P = 0.10). Single-operation anatomic success was achieved in 2 (25%) cases and 24 (80%) controls (P = 0.007). Visual acuity 3 months after the last macular hole surgery was worse in cases compared to controls: ≥20/40 in 0 versus 6 (20%), 20/50-20/80 in 1 (13%) versus 13 (43%), 20/100-20/200 in 4 (50%) versus 10 (33%), and <20/200 in 3 (38%) versus 1 (3%) (P = 0.003). The mean improvement in visual acuity was 0.2 logMAR units in cases versus 0.4 logMAR units in controls (P = 0.054). Conclusions: Surgical outcomes for idiopathic macular hole associated with a localized macular detachment compare poorly with the outcomes for macular hole not associated with extensive surrounding subretinal fluid.

KW - Macular hole

KW - Retinal detachment

KW - Subretinal fluid

KW - Surgical outcome

KW - Vision

UR - http://www.scopus.com/inward/record.url?scp=0035124925&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035124925&partnerID=8YFLogxK

M3 - Article

C2 - 11217924

AN - SCOPUS:0035124925

VL - 21

SP - 15

EP - 19

JO - Retina

JF - Retina

SN - 0275-004X

IS - 1

ER -