Persistent outer retinal fluid following non-posturing surgery for idiopathic macular hole

Rubina Rahman, Lucy Oxley, John Stephenson

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aim: To present the anatomical and visual outcomes of patients with hypo-reflective cystic defects in outer fovea (outer foveal defect; OFD) in macular holes repaired with non-posturing vitrectomy and short term gas tamponade. To identify the incidence and risk factors for developing OFD foveal defect. Method: A prospective consecutive case series of 58 patients undergoing macular hole surgery was undertaken. OFD detected on 2-week postoperative Optical coherence tomography (OCT) was measured. In these patients OCT was performed monthly until resolution of OCT. Results: 27 eyes (46.6%) had an outer defect at 2 weeks, the presence of which was significantly associated with macular holes with larger base diameters preoperatively ( p=0.006). All defects closed spontaneously without further intervention, and the final vision was not affected by the presence of an OFD. Visual recovery was only slightly (and not significantly) delayed by the presence of an outer defect. Conclusions: This is the first study of outcomes of OFDs following macular hole surgery in patients who did not posture postoperatively. OFDs are common but do not adversely affect visual outcomes.

Original languageEnglish
Pages (from-to)1451-1454
Number of pages4
JournalBritish Journal of Ophthalmology
Volume97
Issue number11
DOIs
Publication statusPublished - 1 Nov 2013

Fingerprint

Retinal Perforations
Optical Coherence Tomography
Vitrectomy
Posture
Gases
Outcome Assessment (Health Care)
Incidence

Cite this

@article{fc09e9d5b00749489e94c6aa938918ad,
title = "Persistent outer retinal fluid following non-posturing surgery for idiopathic macular hole",
abstract = "Aim: To present the anatomical and visual outcomes of patients with hypo-reflective cystic defects in outer fovea (outer foveal defect; OFD) in macular holes repaired with non-posturing vitrectomy and short term gas tamponade. To identify the incidence and risk factors for developing OFD foveal defect. Method: A prospective consecutive case series of 58 patients undergoing macular hole surgery was undertaken. OFD detected on 2-week postoperative Optical coherence tomography (OCT) was measured. In these patients OCT was performed monthly until resolution of OCT. Results: 27 eyes (46.6{\%}) had an outer defect at 2 weeks, the presence of which was significantly associated with macular holes with larger base diameters preoperatively ( p=0.006). All defects closed spontaneously without further intervention, and the final vision was not affected by the presence of an OFD. Visual recovery was only slightly (and not significantly) delayed by the presence of an outer defect. Conclusions: This is the first study of outcomes of OFDs following macular hole surgery in patients who did not posture postoperatively. OFDs are common but do not adversely affect visual outcomes.",
author = "Rubina Rahman and Lucy Oxley and John Stephenson",
year = "2013",
month = "11",
day = "1",
doi = "10.1136/bjophthalmol-2013-303226",
language = "English",
volume = "97",
pages = "1451--1454",
journal = "British Journal of Ophthalmology",
issn = "0007-1161",
publisher = "BMJ Publishing Group",
number = "11",

}

Persistent outer retinal fluid following non-posturing surgery for idiopathic macular hole. / Rahman, Rubina; Oxley, Lucy; Stephenson, John.

In: British Journal of Ophthalmology, Vol. 97, No. 11, 01.11.2013, p. 1451-1454.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Persistent outer retinal fluid following non-posturing surgery for idiopathic macular hole

AU - Rahman, Rubina

AU - Oxley, Lucy

AU - Stephenson, John

PY - 2013/11/1

Y1 - 2013/11/1

N2 - Aim: To present the anatomical and visual outcomes of patients with hypo-reflective cystic defects in outer fovea (outer foveal defect; OFD) in macular holes repaired with non-posturing vitrectomy and short term gas tamponade. To identify the incidence and risk factors for developing OFD foveal defect. Method: A prospective consecutive case series of 58 patients undergoing macular hole surgery was undertaken. OFD detected on 2-week postoperative Optical coherence tomography (OCT) was measured. In these patients OCT was performed monthly until resolution of OCT. Results: 27 eyes (46.6%) had an outer defect at 2 weeks, the presence of which was significantly associated with macular holes with larger base diameters preoperatively ( p=0.006). All defects closed spontaneously without further intervention, and the final vision was not affected by the presence of an OFD. Visual recovery was only slightly (and not significantly) delayed by the presence of an outer defect. Conclusions: This is the first study of outcomes of OFDs following macular hole surgery in patients who did not posture postoperatively. OFDs are common but do not adversely affect visual outcomes.

AB - Aim: To present the anatomical and visual outcomes of patients with hypo-reflective cystic defects in outer fovea (outer foveal defect; OFD) in macular holes repaired with non-posturing vitrectomy and short term gas tamponade. To identify the incidence and risk factors for developing OFD foveal defect. Method: A prospective consecutive case series of 58 patients undergoing macular hole surgery was undertaken. OFD detected on 2-week postoperative Optical coherence tomography (OCT) was measured. In these patients OCT was performed monthly until resolution of OCT. Results: 27 eyes (46.6%) had an outer defect at 2 weeks, the presence of which was significantly associated with macular holes with larger base diameters preoperatively ( p=0.006). All defects closed spontaneously without further intervention, and the final vision was not affected by the presence of an OFD. Visual recovery was only slightly (and not significantly) delayed by the presence of an outer defect. Conclusions: This is the first study of outcomes of OFDs following macular hole surgery in patients who did not posture postoperatively. OFDs are common but do not adversely affect visual outcomes.

UR - http://www.scopus.com/inward/record.url?scp=84888603600&partnerID=8YFLogxK

U2 - 10.1136/bjophthalmol-2013-303226

DO - 10.1136/bjophthalmol-2013-303226

M3 - Article

VL - 97

SP - 1451

EP - 1454

JO - British Journal of Ophthalmology

JF - British Journal of Ophthalmology

SN - 0007-1161

IS - 11

ER -