MACULAR HOLE SYNDROMES - ECHOGRAPHIC FINDINGS WITH CLINICAL CORRELATION

Citation
Pu. Dugel et al., MACULAR HOLE SYNDROMES - ECHOGRAPHIC FINDINGS WITH CLINICAL CORRELATION, Ophthalmology, 101(5), 1994, pp. 815-821
Citations number
16
Categorie Soggetti
Ophthalmology
Journal title
ISSN journal
01616420
Volume
101
Issue
5
Year of publication
1994
Pages
815 - 821
Database
ISI
SICI code
0161-6420(1994)101:5<815:MHS-EF>2.0.ZU;2-Q
Abstract
Background: Anatomic characteristics of macular holes may be difficult to define, even with contact lens biomicroscopy. With the advent of s uccessful macular hole surgical techniques, accurate diagnosis has bec ome increasingly important to avoid unnecessary or incorrect surgery. Echography may provide additional diagnostic information in some cases . The purpose of this study is to correlate echographic and intraopera tive clinical features of macular holes. Methods: The echographic feat ures and intraoperative findings in 25 patients were compared. The spe ctrum of identifiable echographic features included (1) a thin, smooth , membrane-like surface minimally elevated over the macula (limited po sterior vitreous face separation); (2) macular thickening; (3) an oper culum; and (4) a complete posterior vitreous face separation. Intraope rative clinical findings included the presence or absence of (1) a thi n, limited posterior vitreous face separation, (2) a subretinal fluid cuff, (3) an operculum, and (4) a complete posterior vitreous face sep aration. Results: Echographic and intraoperative findings correlated r egarding the limited posterior face separation in 23 of 25 patients, a surrounding subretinal fluid cuff (macular thickening) in 24 of 25 pa tients, an operculum in 19 of 25 patients, and complete posterior vitr eous face separation in 24 of 25 patients. Thus, echography was very e ffective in detecting the position of the posterior vitreous face. Ove rall, echography correlated accurately with 90 (90%) of 100 of these t our features. Conclusion: Echographic features correlate accurately wi th clinical features.