Predictors of visual acuity outcomes following vitrectomy for idiopathic macular hole

Alec L. Amram, Murtaza M. Mandviwala, William C. Ou, Charles C. Wykoff, Ankoor R. Shah

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: To investigate predictors of visual outcomes in patients who underwent vitrectomy for full-thickness macular hole (FTMH) with at least 1 year of follow-up. PATIENTS AND METHODS: Retrospective, noncom-parative, consecutive case series of 132 eyes of 122 patients who underwent surgical repair of idiopathic FTMH with at least 1 year of follow-up. Predictors of visual acuity (VA) outcomes were analyzed using linear regression. RESULTS: Mean follow-up time was 22.2 months. Twenty-three eyes (17.4%) had age-related macular degeneration (AMD), of which 17 (73.9%) cases were mild and nonexudative. At final follow-up, poor preoperative VA (P < .001), perioperative complications (P < .001), AMD (P < .001), and delay from preoperative evaluation to surgery (P = .037) were significant predictors of final VA. In multiple regression, these variables remained significant (P < .001, P = .011, P < .001, and P = .002, respectively). CONCLUSION: Poor preoperative VA, perioperative complications, AMD, and delay to surgery were significant predictors of final VA following FTMH repair.

Original languageEnglish (US)
Pages (from-to)566-570
Number of pages5
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume49
Issue number8
DOIs
StatePublished - Aug 1 2018

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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