Spectral-domain optical coherence tomography images of inner/outer segment junctions and macular hole surgery outcomes

Background To evaluate the ability of spectral-domain optical coherence tomography (SD-OCT) images of the inner/outer segment (IS/OS) junction to predict macular hole surgery outcomes. Methods Fifty-four eyes in 53 patients with idiopathic macular holes were studied. Postoperative visual acuity and SD-OCT images of the fovea were examined before and 12 months after surgery. The total area and the maximum length of the IS/OS junction defect were measured. Results The macular holes were successfully closed in all the eyes included in this series. The mean logMAR visual acuity improved significantly from 0.67 ± 0.25 preoperatively to 0.16 ± 0.22 postoperatively ( p