Optical Coherence Tomography Findings in Idiopathic Macular Holes

Purpose. To describe the characteristics of idiopathic macular holes (MH) on optical coherence tomography (OCT) and correlate OCT with clinical assessment. Design. Cross-sectional chart review and OCT assessment. Participants. Sixty-seven eyes with a clinically diagnosed idiopathic MH with available...

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Main Authors: Lynn L. Huang, David H. Levinson, Jonathan P. Levine, Umar Mian, Irena Tsui
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2011/928205
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author Lynn L. Huang
David H. Levinson
Jonathan P. Levine
Umar Mian
Irena Tsui
author_facet Lynn L. Huang
David H. Levinson
Jonathan P. Levine
Umar Mian
Irena Tsui
author_sort Lynn L. Huang
collection DOAJ
description Purpose. To describe the characteristics of idiopathic macular holes (MH) on optical coherence tomography (OCT) and correlate OCT with clinical assessment. Design. Cross-sectional chart review and OCT assessment. Participants. Sixty-seven eyes with a clinically diagnosed idiopathic MH with available OCT data. Methods. A retrospective chart review and OCT assessment. Results. Based on OCT grading, 40 eyes had a full-thickness macular hole (FTMH) and 21 eyes had a lamellar macular hole (LMH). Clinical exam and OCT assessment agreed in 53 (87%) eyes when assessing the extent of MH. Six eyes (14.6%) in the FTMH group, and 3 eyes in the LMH group (14.3%) had persistent vitreomacular traction. Thirty-seven eyes (92.5%) in the FTMH group and 11 eyes (52.4%) in the LMH group had associated intraretinal cysts. Two eyes (5.0%) in the FTMH group and zero eyes in the LMH group had subretinal fluid. Intraretinal cysts were found to be more frequently associated with FTMH than with LMH (P<0.001). Conclusion. This paper described OCT findings in a group of patients with clinically diagnosed MH. A high level of correlation between clinical assessment and OCT findings of LMH and FTMH was observed, and intraretinal cysts were often present in FTMH.
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spelling doaj-art-5e7e47e322fb44a9bbf10cc58e08234b2025-02-03T01:02:42ZengWileyJournal of Ophthalmology2090-004X2090-00582011-01-01201110.1155/2011/928205928205Optical Coherence Tomography Findings in Idiopathic Macular HolesLynn L. Huang0David H. Levinson1Jonathan P. Levine2Umar Mian3Irena Tsui4Retina Division, Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, The Bronx, NY 10467, USARetina Division, Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, The Bronx, NY 10467, USARetina Division, Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, The Bronx, NY 10467, USARetina Division, Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, The Bronx, NY 10467, USARetina Division, Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, The Bronx, NY 10467, USAPurpose. To describe the characteristics of idiopathic macular holes (MH) on optical coherence tomography (OCT) and correlate OCT with clinical assessment. Design. Cross-sectional chart review and OCT assessment. Participants. Sixty-seven eyes with a clinically diagnosed idiopathic MH with available OCT data. Methods. A retrospective chart review and OCT assessment. Results. Based on OCT grading, 40 eyes had a full-thickness macular hole (FTMH) and 21 eyes had a lamellar macular hole (LMH). Clinical exam and OCT assessment agreed in 53 (87%) eyes when assessing the extent of MH. Six eyes (14.6%) in the FTMH group, and 3 eyes in the LMH group (14.3%) had persistent vitreomacular traction. Thirty-seven eyes (92.5%) in the FTMH group and 11 eyes (52.4%) in the LMH group had associated intraretinal cysts. Two eyes (5.0%) in the FTMH group and zero eyes in the LMH group had subretinal fluid. Intraretinal cysts were found to be more frequently associated with FTMH than with LMH (P<0.001). Conclusion. This paper described OCT findings in a group of patients with clinically diagnosed MH. A high level of correlation between clinical assessment and OCT findings of LMH and FTMH was observed, and intraretinal cysts were often present in FTMH.http://dx.doi.org/10.1155/2011/928205
spellingShingle Lynn L. Huang
David H. Levinson
Jonathan P. Levine
Umar Mian
Irena Tsui
Optical Coherence Tomography Findings in Idiopathic Macular Holes
Journal of Ophthalmology
title Optical Coherence Tomography Findings in Idiopathic Macular Holes
title_full Optical Coherence Tomography Findings in Idiopathic Macular Holes
title_fullStr Optical Coherence Tomography Findings in Idiopathic Macular Holes
title_full_unstemmed Optical Coherence Tomography Findings in Idiopathic Macular Holes
title_short Optical Coherence Tomography Findings in Idiopathic Macular Holes
title_sort optical coherence tomography findings in idiopathic macular holes
url http://dx.doi.org/10.1155/2011/928205
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AT umarmian opticalcoherencetomographyfindingsinidiopathicmacularholes
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