3 576

Cited 0 times in

Prognostic factors in vitrectomy for lamellar macular hole assessed by spectral-domain optical coherence tomography

DC Field Value Language
dc.contributor.author고형준-
dc.contributor.author이규성-
dc.contributor.author이성철-
dc.contributor.author이승규-
dc.date.accessioned2014-12-19T16:21:28Z-
dc.date.available2014-12-19T16:21:28Z-
dc.date.issued2012-
dc.identifier.issn1755-375X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89375-
dc.description.abstractPURPOSE: To evaluate the association between the macular structure on spectral-domain optical coherence tomography (SD-CT) and visual outcome after vitrectomy for lamellar macular hole (LMH). METHODS: Best-corrected visual acuity (VA) and SD-OCT images of the macula were assessed before and after surgery in 30 eyes of 30 patients with a LMH. Preoperative VA and SD-OCT features were investigated as predictors of surgical outcome. RESULTS: Mean patient age was 65 years with female predominance (77%). Visual acuity improved in 19 eyes (63%) with an overall mean improvement of 1 Snellen line (from 20/65 to 20/50; p = 0.002) at a mean of 18 months after vitrectomy. Subgroup analysis showed that statistically significant visual benefit was only observed in patients with an intact photoreceptor inner segment/outer segment (IS/OS) junction (p = 0.003), with foveal thickness bigger than 100 μm (p = 0.004) and with initial VA better than 20/100 (p = 0.003). The most efficient model to predict final VA was the combination of preoperative VA and the presence or absence of IS/OS disruption (r(2) = 0.77, p < 0.001). CONCLUSIONS: Poor initial VA, the presence of a disrupted IS/OS junction or a thin fovea on preoperative SD-OCT predicted poor vision outcome after LMH surgery.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfACTA OPHTHALMOLOGICA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHBasement Membrane/surgery-
dc.subject.MESHChild-
dc.subject.MESHEndotamponade-
dc.subject.MESHEpiretinal Membrane/surgery-
dc.subject.MESHFemale-
dc.subject.MESHFluorocarbons/administration & dosage-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMicrosurgery-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrognosis-
dc.subject.MESHRetinal Perforations/diagnosis-
dc.subject.MESHRetinal Perforations/physiopathology-
dc.subject.MESHRetinal Perforations/surgery*-
dc.subject.MESHSulfur Hexafluoride/administration & dosage-
dc.subject.MESHTomography, Optical Coherence*-
dc.subject.MESHVisual Acuity/physiology*-
dc.subject.MESHVitrectomy*-
dc.titlePrognostic factors in vitrectomy for lamellar macular hole assessed by spectral-domain optical coherence tomography-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Ophthalmology (안과학)-
dc.contributor.googleauthorChristopher S. Lee-
dc.contributor.googleauthorHyoung J. Koh-
dc.contributor.googleauthorHyung T. Lim-
dc.contributor.googleauthorKyu S. Lee-
dc.contributor.googleauthorSung C. Lee-
dc.identifier.doi22632460-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02683-
dc.contributor.localIdA00152-
dc.contributor.localIdA02873-
dc.contributor.localIdA02913-
dc.relation.journalcodeJ00025-
dc.identifier.eissn1755-3768-
dc.identifier.pmid22632460-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/j.1755-3768.2012.02456.x/abstract-
dc.subject.keywordIS ⁄ OS-
dc.subject.keywordlamellar macular hole-
dc.subject.keywordmacular hole-
dc.subject.keywordmacular pseudohole-
dc.subject.keywordOCT-
dc.contributor.alternativeNameKoh, Hyoung Jun-
dc.contributor.alternativeNameLee, Kyu Sung-
dc.contributor.alternativeNameLee, Sung Chul-
dc.contributor.alternativeNameLee, Seung Kyu-
dc.contributor.affiliatedAuthorLee, Kyu Sung-
dc.contributor.affiliatedAuthorKoh, Hyoung Jun-
dc.contributor.affiliatedAuthorLee, Sung Chul-
dc.contributor.affiliatedAuthorLee, Seung Kyu-
dc.citation.volume90-
dc.citation.number8-
dc.citation.startPage597-
dc.citation.endPage602-
dc.identifier.bibliographicCitationACTA OPHTHALMOLOGICA, Vol.90(8) : 597-602, 2012-
dc.identifier.rimsid34597-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.