Journal of the Korean Ophthalmological Society 1997;38(10):1776-1787.
Published online October 1, 1997.
Evaluation of Macular Hole Surgery using Confocal Laser Tomography.
Jae Hong Ahn, Oh Woong Kwon, Ho Min Lew
1Department of Ophthalmology, College of Medicine, Yonsei University, Institute of Vision Research, Seoul, Korea.
2Department of Ophthalmology, Ajou University School of Medicine.
Confocal laser tomography 를 이용한 황반원공 수술의 평가
안재홍(Jae Hong Ahn),권오웅(Oh Woong Kwon),유호민(Ho Min Lew)
Abstract
Macular hole can be quantitated by measuring its diameter, depth and volume with Heidelberg retina tomograph(HRT). In this study, effectiveness of macular hole surgery was investigated using HRT. Patients with good preoperative visual acuity showed better visual improvement after surgery. The macular holes of stage 1 and stage 2 had better visual prognosis than those of stage 3 and stage 4. Idiopathic holes had better visual prognosis than traumatic holes. Following surgery, the diameters of the macular holes were significantly decreased in eyes with postoperative visual improvement, and significantly increased in eyes with decrease in visual acuity. The diameter of a macular hole is a good indicator for the correlation of vision in macular hole surgery. Initial visual acuity and stage of macular holes were the most significant prognostic factors.
Key Words: Heidelberg retina tomography;Macular hole surgery


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