Visual outcomes after spontaneous and surgical closure of small idiopathic macular holes: a comparative study.

IF 2.1 4区医学 Q2 OPHTHALMOLOGY

Ophthalmologica Pub Date : 2024-11-27 DOI:10.1159/000541057

Elsa Toumi, Damien Guindolet, Sophie Bonnin, Sébastien Bruneau, Marie Leflot, Amélie Duvillier, Raphaël Lejoyeux, Ramin Tadayoni

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引用次数: 0

Abstract

Introduction: Small full-thickness macular holes (FTMHs) are classically treated surgically but can also occasionally close spontaneously. Long-term visual outcomes of spontaneously closed FTMHs are not well described. We compared best-corrected visual acuity (BVCA) after surgical and spontaneous closure of idiopathic FTMH (IMHs) and assessed the effect of IMH size on BCVA.

Methods: This retrospective study was performed at Rothschild Foundation Hospital, Paris, France, from January 2015 to June 2021. The study included patients with small IMH, i.e. ≤ 250 m, divided into spontaneously closed IMH (SIMH) and surgically closed IMH. Both groups were divided into 3 subgroups according to IMH diameter: < 100 m, 100-150 m, or 151-200 m.

Results: A total of 109 patients had surgical IMH closure and 18 spontaneous IMH closure. Among all the patients of the study, we observed 17% of spontaneous closure. All SIMHs were < 250 m. The groups did not differ in final BCVA or BCVA gain. BCVA significantly improved after surgery whatever the IMH size. In SIMH group, final BCVA did not differ by IMH size. In the 100-150 m subgroups, BCVA gain was significantly greater for the surgical closure compared to the SIMH groups (-0.35) ±0.2 vs -0.16) ±0.2 logMAR; p=0.01).

Conclusion: Vision results are similar between spontaneously closed and surgically closed macular holes. Spontaneous closure of macular holes can occur, it is therefore reasonable to consider observation before macular hole surgery.

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特发性黄斑小孔自发闭合和手术闭合后的视觉效果：一项比较研究。

导言：小的全厚黄斑孔（FTMHs）通常采用手术治疗，但偶尔也会自发闭合。自发闭合的全厚黄斑孔的长期视力结果还没有得到很好的描述。我们比较了特发性FTMH（IMH）手术和自发闭合后的最佳矫正视力（BVCA），并评估了IMH大小对BCVA的影响：这项回顾性研究于2015年1月至2021年6月在法国巴黎罗斯柴尔德基金会医院进行。研究对象包括小IMH患者，即≤ 250 m ，分为自发闭合IMH（SIMH）和手术闭合IMH。根据IMH直径将两组患者分为3个亚组：两组均按IMH直径分为3个亚组：< 100 m、100-150 m或151-200 m。结果：共有109名患者进行了IMH手术闭合，18名患者进行了IMH自发闭合。在所有患者中，我们观察到17%的患者自发闭合。所有SIMH均小于250 m。两组患者的最终BCVA或BCVA增益没有差异。无论IMH大小如何，术后BCVA都有明显改善。在SIMH组，IMH大小对最终BCVA没有影响。在 100-150 m 亚组中，手术闭合组的 BCVA 增益明显高于 SIMH 组（-0.35）±0.2 vs -0.16) ±0.2 logMAR；p=0.01）：自发闭合黄斑孔与手术闭合黄斑孔的视力结果相似。黄斑孔有可能自发闭合，因此在黄斑孔手术前考虑观察是合理的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ophthalmologica 医学-眼科学

CiteScore

5.10

自引率

3.80%

发文量

审稿时长

3 months

期刊介绍： Published since 1899, ''Ophthalmologica'' has become a frequently cited guide to international work in clinical and experimental ophthalmology. It contains a selection of patient-oriented contributions covering the etiology of eye diseases, diagnostic techniques, and advances in medical and surgical treatment. Straightforward, factual reporting provides both interesting and useful reading. In addition to original papers, ''Ophthalmologica'' features regularly timely reviews in an effort to keep the reader well informed and updated. The large international circulation of this journal reflects its importance.