The Relation between Idiopathic Macular Hole and Perifoveal Vitreous Detachment.

Chung, Do Hyun; Ham, Don Il; Kang, Se Woong

Original Article

Journal of the Korean Ophthalmological Society 2002;43(12):2430-2438.
Published online December 1, 2002.

The Relation between Idiopathic Macular Hole and Perifoveal Vitreous Detachment.

Do Hyun Chung, Don Il Ham, Se Woong Kang

Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. swkang@smc.samsung.co.kr

중심와주위 뒤유리체박리와 초기 특발성 황반원공 형성

정도현 ( Do Hyun Chung ) , 함돈일 ( Don Il Ham ) , 강세웅 ( Se Woong Kang )

Abstract

PURPOSE
To determine the relation between the pathogenesis of idiopathic macular hole and perifoveal vitreous detachment using OCT scan. METHODS: On 28 eyes with idiopathic macular hole stage 1,2,3 which was graded according to using the classification described by Gass and on 123 eyes from the normal contrast group, OCT scan were performed to obtain axial views of the vitreoretinal interface in the posterior pole. The incidence of perifoveal vitreous detachment was assessed. RESULTS: 18 of the 28 eyes (64.2%) from the macular hole group and 15 of the 123 eyes (12.1%) from the normal contrast group had perifoveal vitreous detachment on OCT scan. The difference was statistically significant (p<0.05).There was no statistically significant difference on the incidence of perifoveal vitreous detachment according to stage of macular hole. CONCLUSIONS: These results led to the conclusion that there is a significant relation between the pathogenesis of macular hole and the papillofoveal traction.

Key Words: Macular hole;Optical coherence tomography;Perifoveal vitreous detachment