Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole Surgery
Purpose. To evaluate the efficacy of setting a preferred retinal locus relocation target (PRT) and performing Macular Integrity Assessment (MAIA) biofeedback training in patients showing insufficient recovery of best corrected visual acuity (BCVA) despite successful closure of an idiopathic macular...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/572942 |
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| author | Tomoko Ueda-Consolvo Mitsuya Otsuka Yumiko Hayashi Masaaki Ishida Atsushi Hayashi |
| author_facet | Tomoko Ueda-Consolvo Mitsuya Otsuka Yumiko Hayashi Masaaki Ishida Atsushi Hayashi |
| author_sort | Tomoko Ueda-Consolvo |
| collection | DOAJ |
| description | Purpose. To evaluate the efficacy of setting a preferred retinal locus relocation target (PRT) and performing Macular Integrity Assessment (MAIA) biofeedback training in patients showing insufficient recovery of best corrected visual acuity (BCVA) despite successful closure of an idiopathic macular hole (MH). Methods. Retrospective interventional case series. Nine eyes of 9 consecutive patients with the decimal BCVA of less than 0.6 at more than 3 months after successful MH surgery were included. A PRT was chosen based on MAIA microperimetry and the patients underwent MAIA biofeedback training. BCVA, reading speed, fixation stability, and 63% bivariate contour ellipse area (BCEA) were evaluated before and after the training. Statistical analysis was carried out using paired Student’s t-test. Results. PRT was chosen on the nasal side of the closed MH fovea in 8 patients. After the MAIA training, BCVA improved in all patients. The mean logMAR value of BCVA significantly improved from 0.33 to 0.12 (p=0.007). Reading speed improved in all patients (p=0.29), fixation stability improved in 5 patients (p=0.70), and 63% BCEA improved in 7 patients (p=0.21), although these improvements were not statistically significant. Conclusion. MAIA biofeedback training improved visual acuity in patients with insufficient recovery of BCVA after successful MH surgery. |
| format | Article |
| id | doaj-art-465cad4b8d8145f2becb1545e16fd0ff |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-465cad4b8d8145f2becb1545e16fd0ff2025-02-03T00:59:57ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/572942572942Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole SurgeryTomoko Ueda-Consolvo0Mitsuya Otsuka1Yumiko Hayashi2Masaaki Ishida3Atsushi Hayashi4Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, JapanDepartment of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, JapanDepartment of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, JapanDepartment of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, JapanDepartment of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, JapanPurpose. To evaluate the efficacy of setting a preferred retinal locus relocation target (PRT) and performing Macular Integrity Assessment (MAIA) biofeedback training in patients showing insufficient recovery of best corrected visual acuity (BCVA) despite successful closure of an idiopathic macular hole (MH). Methods. Retrospective interventional case series. Nine eyes of 9 consecutive patients with the decimal BCVA of less than 0.6 at more than 3 months after successful MH surgery were included. A PRT was chosen based on MAIA microperimetry and the patients underwent MAIA biofeedback training. BCVA, reading speed, fixation stability, and 63% bivariate contour ellipse area (BCEA) were evaluated before and after the training. Statistical analysis was carried out using paired Student’s t-test. Results. PRT was chosen on the nasal side of the closed MH fovea in 8 patients. After the MAIA training, BCVA improved in all patients. The mean logMAR value of BCVA significantly improved from 0.33 to 0.12 (p=0.007). Reading speed improved in all patients (p=0.29), fixation stability improved in 5 patients (p=0.70), and 63% BCEA improved in 7 patients (p=0.21), although these improvements were not statistically significant. Conclusion. MAIA biofeedback training improved visual acuity in patients with insufficient recovery of BCVA after successful MH surgery.http://dx.doi.org/10.1155/2015/572942 |
| spellingShingle | Tomoko Ueda-Consolvo Mitsuya Otsuka Yumiko Hayashi Masaaki Ishida Atsushi Hayashi Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole Surgery Journal of Ophthalmology |
| title | Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole Surgery |
| title_full | Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole Surgery |
| title_fullStr | Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole Surgery |
| title_full_unstemmed | Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole Surgery |
| title_short | Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole Surgery |
| title_sort | microperimetric biofeedback training improved visual acuity after successful macular hole surgery |
| url | http://dx.doi.org/10.1155/2015/572942 |
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