Abstract
Background
The optical coherence tomography (OCT) and clinical characteristics of traumatic macular holes (TMHs) can be compared to those of idiopathic macular holes (IMHs) to gain insights into the pathogenesis of both.
Methods
The demographic data and visual acuity of 73 consecutive patients with unilateral, full-thickness TMHs and 182 consecutive patients with idiopathic IMHs were recorded. All patients with TMH and 60 patients with IMH underwent OCT scanning and quantitative measurements. The apical and basal diameters and marginal retinal thicknesses were recorded for each hole. The hole areas and eccentricities were calculated. These parameters were compared between the two types of macular holes, and correlated with visual acuity.
Results
Compared to IMHs, TMHs were generally thinner, larger at the base, less circular, and were associated with worse vision. Vitreous detachment was more commonly associated with IMHs than TMHs. Both IMHs and TMHs were wider horizontally than vertically. Visual acuity was negatively correlated with the size of IMHs, but not with any tomographic parameters in TMHs.
Conclusion
The tomographic and clinical findings associated with TMHs and IMHs provide useful insights into the pathogenesis of these two types of macular holes.
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Supported by Grant 30901648 from National Natural Science Foundation of China.
Conflict of interest
Dr. Sadda is a co-inventor of Doheny intellectual property related to optical coherence tomography that has been licensed by Topcon Medical Systems, and is a consultant for Heidelberg Engineering. He also receives research support from Carl Zeiss Meditec and Optovue Inc.
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Huang, J., Liu, X., Wu, Z. et al. Comparison of full-thickness traumatic macular holes and idiopathic macular holes by optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 248, 1071–1075 (2010). https://doi.org/10.1007/s00417-009-1226-z
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DOI: https://doi.org/10.1007/s00417-009-1226-z