Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes
AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual ac...
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| Autor*in: |
Jian-Ping Gao [verfasserIn] Xiao-Jian Guo [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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In: Guoji Yanke Zazhi - Press of International Journal of Ophthalmology (IJO PRESS), 2017, 13(2013), 11, Seite 2293-2295 |
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| Übergeordnetes Werk: |
volume:13 ; year:2013 ; number:11 ; pages:2293-2295 |
| Links: |
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| DOI / URN: |
10.3980/j.issn.1672-5123.2013.11.38 |
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DOAJ010210946 |
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| 245 | 1 | 0 | |a Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes |
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| 520 | |a AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. | ||
| 650 | 4 | |a idiopathic macular hole | |
| 650 | 4 | |a vitrectomy | |
| 650 | 4 | |a internal limiting membrane peeling | |
| 650 | 4 | |a OCT | |
| 650 | 4 | |a macular hole index | |
| 650 | 4 | |a postoperative best corrected visual acuity | |
| 653 | 0 | |a Ophthalmology | |
| 700 | 0 | |a Xiao-Jian Guo |e verfasserin |4 aut | |
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10.3980/j.issn.1672-5123.2013.11.38 doi (DE-627)DOAJ010210946 (DE-599)DOAJ763888f0c1c14eb5918a10158749ae18 DE-627 ger DE-627 rakwb eng RE1-994 Jian-Ping Gao verfasserin aut Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. idiopathic macular hole vitrectomy internal limiting membrane peeling OCT macular hole index postoperative best corrected visual acuity Ophthalmology Xiao-Jian Guo verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 13(2013), 11, Seite 2293-2295 (DE-627)1680946854 16725123 nnns volume:13 year:2013 number:11 pages:2293-2295 https://doi.org/10.3980/j.issn.1672-5123.2013.11.38 kostenfrei https://doaj.org/article/763888f0c1c14eb5918a10158749ae18 kostenfrei http://www.ies.net.cn/cn_publish/2013/11/201311038.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 13 2013 11 2293-2295 |
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10.3980/j.issn.1672-5123.2013.11.38 doi (DE-627)DOAJ010210946 (DE-599)DOAJ763888f0c1c14eb5918a10158749ae18 DE-627 ger DE-627 rakwb eng RE1-994 Jian-Ping Gao verfasserin aut Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. idiopathic macular hole vitrectomy internal limiting membrane peeling OCT macular hole index postoperative best corrected visual acuity Ophthalmology Xiao-Jian Guo verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 13(2013), 11, Seite 2293-2295 (DE-627)1680946854 16725123 nnns volume:13 year:2013 number:11 pages:2293-2295 https://doi.org/10.3980/j.issn.1672-5123.2013.11.38 kostenfrei https://doaj.org/article/763888f0c1c14eb5918a10158749ae18 kostenfrei http://www.ies.net.cn/cn_publish/2013/11/201311038.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 13 2013 11 2293-2295 |
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10.3980/j.issn.1672-5123.2013.11.38 doi (DE-627)DOAJ010210946 (DE-599)DOAJ763888f0c1c14eb5918a10158749ae18 DE-627 ger DE-627 rakwb eng RE1-994 Jian-Ping Gao verfasserin aut Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. idiopathic macular hole vitrectomy internal limiting membrane peeling OCT macular hole index postoperative best corrected visual acuity Ophthalmology Xiao-Jian Guo verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 13(2013), 11, Seite 2293-2295 (DE-627)1680946854 16725123 nnns volume:13 year:2013 number:11 pages:2293-2295 https://doi.org/10.3980/j.issn.1672-5123.2013.11.38 kostenfrei https://doaj.org/article/763888f0c1c14eb5918a10158749ae18 kostenfrei http://www.ies.net.cn/cn_publish/2013/11/201311038.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 13 2013 11 2293-2295 |
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10.3980/j.issn.1672-5123.2013.11.38 doi (DE-627)DOAJ010210946 (DE-599)DOAJ763888f0c1c14eb5918a10158749ae18 DE-627 ger DE-627 rakwb eng RE1-994 Jian-Ping Gao verfasserin aut Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. idiopathic macular hole vitrectomy internal limiting membrane peeling OCT macular hole index postoperative best corrected visual acuity Ophthalmology Xiao-Jian Guo verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 13(2013), 11, Seite 2293-2295 (DE-627)1680946854 16725123 nnns volume:13 year:2013 number:11 pages:2293-2295 https://doi.org/10.3980/j.issn.1672-5123.2013.11.38 kostenfrei https://doaj.org/article/763888f0c1c14eb5918a10158749ae18 kostenfrei http://www.ies.net.cn/cn_publish/2013/11/201311038.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 13 2013 11 2293-2295 |
| allfieldsSound |
10.3980/j.issn.1672-5123.2013.11.38 doi (DE-627)DOAJ010210946 (DE-599)DOAJ763888f0c1c14eb5918a10158749ae18 DE-627 ger DE-627 rakwb eng RE1-994 Jian-Ping Gao verfasserin aut Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. idiopathic macular hole vitrectomy internal limiting membrane peeling OCT macular hole index postoperative best corrected visual acuity Ophthalmology Xiao-Jian Guo verfasserin aut In Guoji Yanke Zazhi Press of International Journal of Ophthalmology (IJO PRESS), 2017 13(2013), 11, Seite 2293-2295 (DE-627)1680946854 16725123 nnns volume:13 year:2013 number:11 pages:2293-2295 https://doi.org/10.3980/j.issn.1672-5123.2013.11.38 kostenfrei https://doaj.org/article/763888f0c1c14eb5918a10158749ae18 kostenfrei http://www.ies.net.cn/cn_publish/2013/11/201311038.pdf kostenfrei https://doaj.org/toc/1672-5123 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_2817 AR 13 2013 11 2293-2295 |
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The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. 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Jian-Ping Gao misc RE1-994 misc idiopathic macular hole misc vitrectomy misc internal limiting membrane peeling misc OCT misc macular hole index misc postoperative best corrected visual acuity misc Ophthalmology Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes |
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RE1-994 Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes idiopathic macular hole vitrectomy internal limiting membrane peeling OCT macular hole index postoperative best corrected visual acuity |
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misc RE1-994 misc idiopathic macular hole misc vitrectomy misc internal limiting membrane peeling misc OCT misc macular hole index misc postoperative best corrected visual acuity misc Ophthalmology |
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misc RE1-994 misc idiopathic macular hole misc vitrectomy misc internal limiting membrane peeling misc OCT misc macular hole index misc postoperative best corrected visual acuity misc Ophthalmology |
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Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes |
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Influences of OCT image on the prognosis of visual outcomes among patients with idiopathic macular holes |
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AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. |
| abstractGer |
AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. |
| abstract_unstemmed |
AIM:To observe the optical coherence tomography(OCT)images of idiopathic macular hole(IMH)on patients before and after vitrectomy and internal limiting membrane peeling(ILMP)surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. <p<METHODS: A total of 32 consecutive patients of IMH(7 males, 25 females)receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation. The best-corrected visual acuity(BCVA)in the follow-up period was recorded. The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT. The correlation between macular hole index(MHI)and BCVA post operation was analyzed using SPSS 13.0.<p<RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation(<i<r</i<=-0.524, -0.610, <i<P</i<<0.01); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness(<i<r</i<=-0.064, 0.003, <i<P</i<<0.05). The positive correlation was observed between the postoperative BCVA and the MHI before operation(<i<r</i<=0.457, <i<P</i<<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation. Postoperative BCVA in the MHI ≥0.5 group was much better than that in the MHI<0.5 group(Mann-Whitney Test, <i<U</i<=30.0, W=135, <i<P</i<<0.01). The postoperative BCVA of patients with IMH was much better than that before the operation.<p<CONCLUSION: The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result. |
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