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Surgical treatment for traumatic macular holes: Reconstructive changes in foveal microstructures and visual predictors analysis

Ophthalmologica Jul 21, 2020

Wang M, Yu Y, Wang Z, et al. - In the present study, the researchers sought to examine the reconstructive changes in foveal microstructures and investigate the visual predictors in eyes with surgically closed traumatic macular holes. Seventy-one eyes with TMHs that underwent vitrectomy have been reviewed. Data reported that the primary hole closure rate was 90.14% (64/71). Poorer preoperative visual acuity, lower mean macular hole height, and larger preoperative mean length of EZ defect were postoperatively correlated with poorer visual acuity for 6 months, but only the last factor was found to be a predictor, with a cutoff value of 1800μm. Worse visual acuity and larger mean length of ellipsoid zone (EZ) defect at 1 month were linked to worse final visual acuity. The authors discovered that the mean length of EZ defect both preoperatively and 1-month postoperatively were predictors of visual outcomes at 6 months postoperatively.

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