Makuler hol cerrahisinin anatomik ve fonksiyonel başarısını etkileyen parametreler

Amaç: Preoperatif Spectral Domain Optik Koherens Tomografi (SD-OKT) parametrelerinin makuler hol cerrahisi (MHC) üzerindeki etkisini ve bu parametrelerin postoperatif en iyi düzeltilmiş görme keskinliği (EİDGK) için tahmini değerini değerlendirmek. Gereç ve Yöntemler: Bu retrospektif çalışmaya makuler holü (MH) olan 30 hastanın 30 gözü dahil edildi. Tüm hastalara 23-gauge pars plana vitrektomi uygulandı. Preoperatif olarak minimum çap (MÇ), taban çapı (TÇ), açılış çapı (AÇ), yükseklik, nazal kol (NK), temporal kol (TK), makuler hol indeksi (MHİ), çap hol indeksi (ÇHİ), traksiyonel hol indeksi (THİ), hol form faktörü (HFF), makuler hol alanı (MHA) ve makuler hol hacmi (MHV) içeren detaylı bir makula analizi yapıldı. Postoperatif olarak iç-dış segment (IS/OS) bandı, external limitan membran (ELM) ve kist varlığı belirtildi. Bu parametreler ile postoperatif EİDGK arasındaki ilişkiler değerlendirildi. Bulgular: Çalışma grubu 25 (%83,3) kadından oluşuyordu. Pre-postoperatif ortalama EİDGK değerleri sırasıyla 0,924±0,320 ve 0,487±0,287 logMAR idi. EİDGK, MHC'den sonra anlamlı derecede arttı (p

Parameters affecting the anatomical and functional success of macular hole surgery

Aim: To evaluate the effect of preoperative Spectral Domain Optical Coherence Tomography (SD-OCT) parameters on macular hole surgery (MHS) and their predictive value for postoperative best corrected visual acuity (BCVA). Materials and Methods: This retrospective study included 30 eyes of 30 patients with macular hole (MH). All patients underwent pars plana 23-gauge vitrectomy. A detailed macular analysis including MH minimum diameter (MD), base diameter (BD), opening diameter (OD), height, nasal arm (NA), temporal arm (TA), macular hole index (MHI), diameter hole index (DHI), tractional hole index (THI), hole form factor (HHF), macular hole area (MHA), and macular hole volume (MHV) were performed preoperatively. Presence of inner segment–outer segment (IS/OS) line, external limiting membrane (ELM), and cyst was noted postoperatively. Relationships between these parameters and postoperative BCVA were evaluated. Results: The study group comprised 25 (83.3%) women. Mean pre and postoperative BCVA values were 0.924±0.320 and 0.487±0.287 logMAR, respectively. BCVA improved significantly after MHS (p

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