Macular Abnormality after Successful Surgery for
Idiopathic Macular Hole Assessed Using Optical Coherence Tomography by Nazimul
Hussain in Medical & Surgical Ophthalmology Research
Purpose: Macular changes following Internal
Limiting Membrane peeling after successful Macular hole closure using optical
coherence tomography.
Methods: 5 eyes of 5 patients were included in the
study. The inclusion criteria were idiopathic full thickness macular hole and
completed at least 6 months follow up. All patients underwent optical coherence
tomography assessment before and after surgery until 6 months. Macular
thickness and morphology map was analyzed before and after surgery.
Results: There were 3 males and 2 females. The age
range from 45 to 59 years. Conspicuous irregular surface of the inner retina on
Optical Coherence Tomography surface topography was evident in all eyes at 6
months. This was also associated with downward slope of the temporal macula
seen on surface topography. There was trend towards decrease in subfield
thickness especially in the T1, S1, I1 and N1 6 months after surgery. The
average decrease was -60.4 microns in T1, -20.4 microns in S1, -13.0 microns in
I1 and -23.4 microns in N1.
Conclusion: In this small case series brilliant
blue assisted ILM peeling after successful macular whole closure showed evidence
of decrease in macular thickness in all first subfield quadrant and downward
slope of the temporal macula as well as conspicuous irregularity of the inner
retina.
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