Wons, Juliana; Pfister, Isabel B; Anastasi, Stefano; Steinhauer, Sonja; Niderprim, Sophie-Alexia; Garweg, Justus G (2022). Functional Outcome After Macular Hole Surgery: Comparison of Standard Perimetry with Microperimetry. Clinical ophthalmology, 16, pp. 2235-2243. Dove Medical Press 10.2147/OPTH.S367431
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Purpose
To compare the predictive value of macular perimetry and microperimetry for visual outcomes after vitrectomy with internal limiting membrane (ILM) peeling in full-thickness macular holes (MH).
Methods
This retrospective, non-randomized case series refers to 100 eyes undergoing vitrectomy with ILM peeling. Best-corrected visual acuity (BCVA), standard 12° perimetry and microperimetry were perioperatively recorded. A possible predictive value of the preoperative findings on postoperative visual function (PVF) was assessed.
Results
Independent of the preoperative minimal MH size (range: 55-752 μm), all 100 MHs were closed. BCVA improved from 56.3 ± 12.8 to 74.8 ± 9.2 Early Treatment of Diabetic Retinopathy Study (ETDRS) letters after six months and retinal fixation stability enhanced. We found a positive correlation between BCVA and macular sensitivity 6 months postoperatively in microperimetry (r = 0.48, p < 0.010) and 12° perimetry (r = 0.45, p < 0.014), as well as with mean defect (r = 0.48, p < 0.01 and r = 0.44, p < 0.017, respectively). A correlation between preoperative visual function indices and PVF was not established.
Conclusion
Microperimetry and standard perimetry are equally suitable for describing perioperative retinal function in idiopathic MH. While the indices of both methods correlate comparably well with BCVA, they cannot predict PVF. This may be partially explained by the area covered by perimetry, compared to which the size of the MH is of inferior relevance.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology |
UniBE Contributor: |
Garweg, Justus |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1177-5467 |
Publisher: |
Dove Medical Press |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
20 Jul 2022 12:23 |
Last Modified: |
05 Dec 2022 16:21 |
Publisher DOI: |
10.2147/OPTH.S367431 |
PubMed ID: |
35844664 |
Uncontrolled Keywords: |
central visual field idiopathic full-thickness macular hole microperimetry peeling of the internal limiting membrane vitrectomy |
BORIS DOI: |
10.48350/171416 |
URI: |
https://boris.unibe.ch/id/eprint/171416 |
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