Optical coherence tomography characteristics of full-thickness traumatic macular holes

Optical coherence tomography characteristics of full-thickness traumatic macular holes

Autor Arévalo, J. F. Google Scholar
Sanchez, J. G. Google Scholar
Costa, R. A. Google Scholar
Farah, Michel Eid Autor UNIFESP Google Scholar
Berrocal, M. H. Google Scholar
Graue-Wiechers, F. Google Scholar
Lizana, C. Google Scholar
Robledo, V. Google Scholar
Lopera, M. Google Scholar
Instituição Clin Oftalmol Ctr Caracas
Hosp Olhos Araraquara
Universidade Federal de São Paulo (UNIFESP)
Univ Puerto Rico
Fdn Conde Valenciana
Inst Ciencias Salud CES
Resumo Purpose the objective of this paper is to describe the optical coherence tomography (OCT) characteristics of patients with full-thickness traumatic macular hole (TMH) and to correlate them with biomicroscopy findings.Methods Twelve eyes of ten consecutive patients with full-thickness TMH participated in this observational retrospective multicentre study. Patients underwent biomicroscopic fundus examination, colour fundus photography, and OCT.Results Traumatic macular hole was documented with OCT in five women and five men. Mean (range) time between trauma and macular hole (MH) diagnosis was 8.1 (1-24) months. the shape of TMHs was round in 11 (91.7%) eyes. the posterior vitreous was completely detached in six (50%) eyes, and with an operculum in one (8.3%) eye. the common findings seen on OCT were: (1) full-thickness loss of retinal tissue through the hole with sharp edges, perpendicular to the retinal pigment epithelium in five (41.7%) eyes; (2) TMH with an operculum totally detached from the hole's edge in two (16.7%) eyes; (3) presence of epiretinal membrane around of the hole in three (25%) eyes; and (4) presence of abnormalities of the surrounding retina in all (100%) eyes. the OCT characteristics correlated well with biomicroscopic findings, and these characteristics may be predictive for final visual acuity (VA) in TMHs. Only one of the TMHs closed spontaneously in our series.Conclusion Optical coherence tomography complements biomicroscopy in the evaluation of full-thickness TMHs.
Palavra-chave full thickness
macular hole
OCT
optical coherence tomography
traumatic
vitrectomy
Idioma Inglês
Financiador Arevalo-Coutinho Foundation
Data de publicação 2008-11-01
Publicado em Eye. London: Nature Publishing Group, v. 22, n. 11, p. 1436-1441, 2008.
ISSN 0950-222X (Sherpa/Romeo, fator de impacto)
Publicador Nature Publishing Group
Extensão 1436-1441
Fonte http://dx.doi.org/10.1038/sj.eye.6702975
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000260917500012
Endereço permanente http://repositorio.unifesp.br/handle/11600/30978

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