Abstract
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.
Highlights
Macular holes (MH) have been classified by fundus biomicroscopy in four stages, as first described by Donald Gass in 1988 [1, 2]
Twenty eyes were clinically diagnosed as lamellar macular hole (LMH) and 43 eyes as full-thickness macular holes (FTMH)
This paper was a descriptive Optical coherence tomography (OCT) study of idiopathic macular holes (MH) captured at a large tertiary care center
Summary
Macular holes (MH) have been classified by fundus biomicroscopy in four stages, as first described by Donald Gass in 1988 [1, 2]. Confirmation of full-thickness macular holes (FTMH) can be performed with further clinical investigations such as Amsler grid assessment, the Watzke-Allen sign, or the laser aiming beam test [3]. Optical coherence tomography (OCT) has enhanced our understanding of MH by providing an objective and reproducible way of visualizing the macula. It confirmed the pathogenesis of idiopathic MH by introducing the concept of stage 0 macular hole, or vitreomacular traction (VMT) [4]. OCT provides confirmation of clinical findings, further anatomic characterization, means of educating patients, and improved staging of MH. In a study of 61 eyes with all stages of MH, OCT offered additional or different information in
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
