1. Predictors of Visual Acuity Outcomes Following Vitrectomy for Idiopathic Macular Hole
- Author
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Ankoor S. Shah, Alec L. Amram, Murtaza M. Mandviwala, William C. Ou, and Charles C. Wykoff
- Subjects
Adult ,Male ,medicine.medical_specialty ,Visual acuity ,genetic structures ,medicine.medical_treatment ,Visual Acuity ,Vitrectomy ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Ophthalmology ,medicine ,Humans ,In patient ,Macular hole ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Perioperative ,Consecutive case series ,Middle Aged ,Macular degeneration ,Retinal Perforations ,medicine.disease ,eye diseases ,030221 ophthalmology & optometry ,Regression Analysis ,Female ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
BACKGROUND AND OBJECTIVE: To investigate predictors of visual outcomes in patients who underwent vitrectomy for full-thickness macular hole (FTMH) with at least 1 year of follow-up. PATIENTS AND METHODS: Retrospective, noncomparative, consecutive case series of 132 eyes of 122 patients who underwent surgical repair of idiopathic FTMH with at least 1 year of follow-up. Predictors of visual acuity (VA) outcomes were analyzed using linear regression. RESULTS: Mean follow-up time was 22.2 months. Twenty-three eyes (17.4%) had age-related macular degeneration (AMD), of which 17 (73.9%) cases were mild and nonexudative. At final follow-up, poor preoperative VA ( P < .001), perioperative complications ( P < .001), AMD ( P < .001), and delay from preoperative evaluation to surgery ( P = .037) were significant predictors of final VA. In multiple regression, these variables remained significant ( P < .001, P = .011, P < .001, and P = .002, respectively). CONCLUSION: Poor preoperative VA, perioperative complications, AMD, and delay to surgery were significant predictors of final VA following FTMH repair. [ Ophthalmic Surg Lasers Imaging Retina . 2018;49:566–570.]
- Published
- 2018
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