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2013, Number 2

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Rev Cub Oftal 2013; 26 (2)

Predictive factors for attaining functional results in the idiopathic macular hole surgery

Ramos LM, Perera ME, Ruiz MM, Laseria CIL, Hernández SR

Language: Spanish
References: 67
Page: 307-322
PDF size: 200.23 Kb.


ABSTRACT

Introduction: idiopathic macular hole is a common maculopathy characterized by retinal deshicence in the foveal area. There occur at present some morphofunctional discrepancies after surgery and the visual recovery period could be long. For these reasons, it is important to consider predictive factors for the postsurgical visual recovery of the idiopathic macular hole.
Objective: this literature review was aimed at showing the predictive factors related to the functional results of the idiopathic macular hole surgery, for which a search into different publications and basic textbooks of the specialty was made.
Methods: search into different publications and basic textbooks of the specialty.
Results: the research works collected some factors of good prognosis for functional recovery such as: staging II of the macular hole, less time of evolution, upper diameter lower than 400 µm, macular hole form over 0.9, macular hole index lower than 0.5, U-type closure and recovery of the limit line of the external segments of cones in the fovea, among other factors.
Conclusions: this review clearly presents the factors related to functional recovery after idiopathic macular hole surgery; the permanent consideration of these factors will provide the ophthalmologists with the necessary tools to render optimal medical care, and consequently, a rise of the life of quality in those patients suffering Keywords: idiopathic macular hole, predictive factors, functional visual recovery.from this disease.


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