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ISSN 1561-3070 (Electronic)

2016, Number 4

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Rev Cub Oftal 2016; 29 (4)

Predictive factors for anatomic and functional results in the idiopathic macular hole surgery

Ramos LM, Perera ME, Ruiz MM, Hernández SJR, Hernández RH

Language: Spanish
References: 38
Page: 597-611
PDF size: 184.08 Kb.


ABSTRACT

Objective: to determine the predictive factors related to the anatomical and the functional recovery in operated patients of macular idiopathic hole, in the period among March 2010-November 2013.
Methods: a longitudinal study of series of cases was carried out in the Cuban Institute of Ophthalmology "Ramón Pando Ferrer", in 42 eyes of 40 patients; by means of interrogation, physical, ophthalmological, dynamic refraction and preoperatory and postoperative tomography of coherence optics-Spectrally.
Results: the age of the patients was 63,28 ± 4,94. There was prevalence of right eyes (69,05 %) and female sex (66,67 %). In 85,71 % of the operated patients, the surgical closing was achieved. In the eyes of patient with surgical closing of the hole, 77,78 % presented visual improvement. As predictive factors, we found significant and functional point for the anatomical recovery, as time of evolution smaller than one year [100 % (p= 0,021) respectively], and diameter superior minor-same 400 micras [100 % (p= 0,067) y 93,75 % (p= 0,053), respectively]. Other predictive factors with results statistically significant related to the functional recovery were: close in U [84,85 % (p= 0,008)] and presence of line corresponding to the terminal portion of the cone's external segments in continuous way [100 % (p= 0,021)].
Conclusions: the time of evolution minor-same one year and the diameter superior minor-same 400 microns constitute predictive factors for anatomical and functional results in the macular idiopathic hole surgery. The closing in U and the line corresponding to the interdigitación between the apical portion of the retina's pigmentary epithelium and the cone's external segments constitutes, also, predictive factors for the functional results of the macular idiopathic hole surgery.


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