특발성 황반원공 수술 후 장기 시력 변화와 시력 예측 인자 = Long-Term Visual Outcomes and Prognostic Factors for Successful Idiopathic Macular Hole

다국어 초록 (Multilingual Abstract)

Purpose: To investigate long-term visual outcomes and prognostic factors to predict visual outcomes in patients with anatomic success after macular hole surgery. Methods: Medical records of 36 eyes with successfully repaired stage 3 or 4 idiopathic macular hole and with at least 24 months of follow-up were reviewed. Hole height, stage of macular hole, base diameter, minimum diameter, hole form factor, macular hole index, and hole closure type were measured or calculated, and the correlations of visual outcomes with variables of preoperative optical coherence tomography (OCT) were analyzed. Results: The patients were classified into 3 groups according to the time period necessary to achieve the best corrective visual acuity. The visual acuity of 16 eyes (44.4%) recovered in a mean of 6 months, 13 eyes (36.1%) improved slowly and continuously, and 7 eyes had no improvement despite successful anatomical closure. There were no statistical differences in hole height, base diameter, minimum diameter, hole form factor, macular hole index, or closure type among the 3 groups. Conclusions: The improvement in visual acuity after successful macular hole surgery persisted at the 24-month follow-up and after. There were no correlations between delayed visual acuity after macular hole surgery and minimum diameter, base diameter, hole height, hole form factor, macular hole index, or closure type. J Korean Ophthalmol Soc 2011;52(10):1195-1201

참고문헌 (Reference)

1 김광수, "황반원공치료를 위한 유리체절제술 시 원고의 크기에 따른 수술결과" 대한안과학회 47 (47): 927-932, 2006

2 김지홍, "황반원공 수술 후 지연된 시력상승과 빛간섭단층촬영" 대한안과학회 49 (49): 763-770, 2008

3 유선임, "특발성 황반원공에 대한 빛간섭단층촬영을 이용한 유리체절제술의 예후인자에 대한 평가" 대한안과학회 48 (48): 513-520, 2007

4 김수진, "수술 전 황반원공의 빛간섭단층촬영과 수술 전후 시력과의 상관관계" 대한안과학회 49 (49): 583-588, 2008

5 Larsson J, "The presence of an operculum verified by optical coherence tomography and other prognostic factors in macular hole surgery" 84 : 301-304, 2006

6 Tadayoni R, "Relationship between macular hole size and the potential benefit of internal limiting membrane peeling" 90 : 1239-1241, 2006

7 Kang SJ, "Prognostic factors in idiopathic macular hole surgery" 41 : 113-122, 2000

8 Kusuhara S, "Prediction of postoperative visual outcome based on hole configuration by optical coherence tomography in eyes with idiopathic macular holes" 138 : 709-716, 2004

9 Ruiz-Moreno JM, "Optical coherence tomography predictive factors for macular hole surgery outcome" 92 : 640-644, 2008

10 Imai M, "Optical coherence tomography of successfully repaired idiopathic macular holes" 128 : 621-627, 1999

11 Ullrich S, "Macular hole size as a prognostic factor in macular hole surgery" 86 : 390-393, 2002

12 Smiddy WE, "Long-term visual outcomes in patients with successful macular hole surgery" 104 : 1648-1652, 1997

13 Scott IU, "Long-term anatomic and visual acuity outcomes after initial anatomic success with macular hole surgery" 135 : 633-640, 2003

14 Smiddy WE, "Internal limiting membrane peeling in macular hole surgery" 108 : 1471-1476, 2001

15 Gass JD, "Idiopathic senile macular hole. Its early stages and pathogenesis" 106 : 629-639, 1988

16 Lister W, "Holes in the retina and their clinical significance" 8 : 14-20, 1924

17 Kobayashi H, "Correlation of quantitative three-dimensional measurements of macular hole size with visual acuity after vitrectomy" 237 : 283-288, 1999