Macular hole and myopic refraction
Aim: To study a correlation between age at the onset and myopic refraction and axial length in patients with idiopathic macular hole and to evaluate a correlation of the size and surgical outcome of macular hole with axial length. Methods: In a prospective clinical study, 94 eyes of 91 patients with...
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| Veröffentlicht in: | British journal of ophthalmology 2002-11, Vol.86 (11), p.1269-1273 |
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| description | Aim: To study a correlation between age at the onset and myopic refraction and axial length in patients with idiopathic macular hole and to evaluate a correlation of the size and surgical outcome of macular hole with axial length. Methods: In a prospective clinical study, 94 eyes of 91 patients with stage III and IV idiopathic macular hole were enrolled. A standardised surgical protocol was performed using vitrectomy and gas tamponade. This study evaluated the size of macular hole and the rate of anatomical and functional success of surgery. To assess dimensions of macular hole, confocal laser scanning tomography was employed. Results: Age at the onset showed a significant increase in relation to myopic refraction and axial length (r = 0.689, p |
| doi_str_mv | 10.1136/bjo.86.11.1269 |
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| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1771378</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A94158588</galeid><sourcerecordid>A94158588</sourcerecordid><originalsourceid>FETCH-LOGICAL-b591t-78f4a090deff91d0c63a77c0a7f8fcf869d0e3860e02340c9fca632d679571c23</originalsourceid><addsrcrecordid>eNqFkV1rFDEUhoNY7Fq99VIWi4WCs-ZkZvJxI5SltkLV4kdvQzaTbLPOJGsyI_bfm3GHVqUguchJzpP3nJwXoWeAFwAlfb3ahAWnOV4AoeIBmkFFeUEwEw_RDGPMCgAK--hxSpt8JBTYI7QPpOQUczZDL94rPbQqzq9Da-bKN_PuJmydnkdjo9K9C_4J2rOqTebptB-gr29PvyzPi4uPZ--WJxfFqhbQF4zbSmGBG2OtgAZrWirGNFbMcqstp6LBZixrMCkrrIXVipakoUzUDDQpD9Cbne52WHWm0cb3UbVyG12n4o0Mysm_M95dy3X4IYExKBnPAkeTQAzfB5N62bmkTdsqb8KQJCMgSMUhg4f_gJswRJ8_N2oJDJiQKlOvdtRatUY6b0OuqtfGm1w8eGNdvj4RFdS85mP14h48r8Z0Tt_HL3a8jiGlPO7bnwKWo7cyeys5zbEcvc0Pnv85nzt8MjMDLydAJa3a7J_XLt1xpWBV_Vto6tSl3vy8zav4TVJWslp-uFrK6nL5iV7xz_Iy88c7ftVt_tfkL1WwxuQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1779010224</pqid></control><display><type>article</type><title>Macular hole and myopic refraction</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Kobayashi, H ; Kobayashi, K ; Okinami, S</creator><creatorcontrib>Kobayashi, H ; Kobayashi, K ; Okinami, S</creatorcontrib><description>Aim: To study a correlation between age at the onset and myopic refraction and axial length in patients with idiopathic macular hole and to evaluate a correlation of the size and surgical outcome of macular hole with axial length. Methods: In a prospective clinical study, 94 eyes of 91 patients with stage III and IV idiopathic macular hole were enrolled. A standardised surgical protocol was performed using vitrectomy and gas tamponade. This study evaluated the size of macular hole and the rate of anatomical and functional success of surgery. To assess dimensions of macular hole, confocal laser scanning tomography was employed. Results: Age at the onset showed a significant increase in relation to myopic refraction and axial length (r = 0.689, p <0.0001; r = 0.723, p <0.0001). Mean age was 52.1 (SD 10.3) years in eyes with axial length of 26.0 mm and longer, 64.5 (8.5) years in eyes with 23.0 to 25.99 mm, and 69.8 (5.7) years in eyes with shorter than 23.0 mm. In stage III macular holes, mean area of macular hole was 0.291 (0.134) mm2 in eyes with 26.0 mm and longer, 0.283 (0.170) mm2 in eyes with 23.0 to 25.99 mm, and 0.296 (0.160) mm2 in eyes with shorter than 23.0 mm. No significant difference was found in area, volume, and depth of macular hole, and area of cuff and retinal striae among the three groups. Overall anatomical success rate and logMAR visual improvement in stage III macular holes were 100% (19 of 19 eyes) and −0.575 (0.174) in eyes with 26.0 mm and longer, 100% (16 of 16 eyes) and −0.536 (0.174) in eyes with 23.0 to 25.99 mm, and 95% (40 of 42 eyes) and −0.599 (0.201) in eyes with shorter than 23.0 mm; there was no significant difference. Conclusions: Macular hole develops in eyes with the severer myopia at the younger age. Myopic refraction appears not to influence the size and surgical outcomes of macular holes. Further investigation on more cases is needed.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.86.11.1269</identifier><identifier>PMID: 12386087</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adult ; Age ; Age of Onset ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Clinical Science ; Diabetic retinopathy ; Female ; Humans ; Japan ; Macular degeneration ; macular hole ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Myopia ; Myopia - etiology ; Myopia - pathology ; Myopia - surgery ; myopic refraction ; Ophthalmology ; Prospective Studies ; Retinal Perforations - complications ; Retinal Perforations - pathology ; Retinal Perforations - surgery ; Retinopathies ; Sulfur ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Surgical outcomes ; Treatment Outcome ; Vision disorders</subject><ispartof>British journal of ophthalmology, 2002-11, Vol.86 (11), p.1269-1273</ispartof><rights>Copyright 2002 British Journal of Ophthalmology</rights><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2002 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2002 Copyright 2002 British Journal of Ophthalmology</rights><rights>Copyright © Copyright 2002 British Journal of Ophthalmology 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b591t-78f4a090deff91d0c63a77c0a7f8fcf869d0e3860e02340c9fca632d679571c23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1771378/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1771378/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13974569$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12386087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kobayashi, H</creatorcontrib><creatorcontrib>Kobayashi, K</creatorcontrib><creatorcontrib>Okinami, S</creatorcontrib><title>Macular hole and myopic refraction</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>Aim: To study a correlation between age at the onset and myopic refraction and axial length in patients with idiopathic macular hole and to evaluate a correlation of the size and surgical outcome of macular hole with axial length. Methods: In a prospective clinical study, 94 eyes of 91 patients with stage III and IV idiopathic macular hole were enrolled. A standardised surgical protocol was performed using vitrectomy and gas tamponade. This study evaluated the size of macular hole and the rate of anatomical and functional success of surgery. To assess dimensions of macular hole, confocal laser scanning tomography was employed. Results: Age at the onset showed a significant increase in relation to myopic refraction and axial length (r = 0.689, p <0.0001; r = 0.723, p <0.0001). Mean age was 52.1 (SD 10.3) years in eyes with axial length of 26.0 mm and longer, 64.5 (8.5) years in eyes with 23.0 to 25.99 mm, and 69.8 (5.7) years in eyes with shorter than 23.0 mm. In stage III macular holes, mean area of macular hole was 0.291 (0.134) mm2 in eyes with 26.0 mm and longer, 0.283 (0.170) mm2 in eyes with 23.0 to 25.99 mm, and 0.296 (0.160) mm2 in eyes with shorter than 23.0 mm. No significant difference was found in area, volume, and depth of macular hole, and area of cuff and retinal striae among the three groups. Overall anatomical success rate and logMAR visual improvement in stage III macular holes were 100% (19 of 19 eyes) and −0.575 (0.174) in eyes with 26.0 mm and longer, 100% (16 of 16 eyes) and −0.536 (0.174) in eyes with 23.0 to 25.99 mm, and 95% (40 of 42 eyes) and −0.599 (0.201) in eyes with shorter than 23.0 mm; there was no significant difference. Conclusions: Macular hole develops in eyes with the severer myopia at the younger age. Myopic refraction appears not to influence the size and surgical outcomes of macular holes. Further investigation on more cases is needed.</description><subject>Adult</subject><subject>Age</subject><subject>Age of Onset</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Clinical Science</subject><subject>Diabetic retinopathy</subject><subject>Female</subject><subject>Humans</subject><subject>Japan</subject><subject>Macular degeneration</subject><subject>macular hole</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myopia</subject><subject>Myopia - etiology</subject><subject>Myopia - pathology</subject><subject>Myopia - surgery</subject><subject>myopic refraction</subject><subject>Ophthalmology</subject><subject>Prospective Studies</subject><subject>Retinal Perforations - complications</subject><subject>Retinal Perforations - pathology</subject><subject>Retinal Perforations - surgery</subject><subject>Retinopathies</subject><subject>Sulfur</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Vision disorders</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkV1rFDEUhoNY7Fq99VIWi4WCs-ZkZvJxI5SltkLV4kdvQzaTbLPOJGsyI_bfm3GHVqUguchJzpP3nJwXoWeAFwAlfb3ahAWnOV4AoeIBmkFFeUEwEw_RDGPMCgAK--hxSpt8JBTYI7QPpOQUczZDL94rPbQqzq9Da-bKN_PuJmydnkdjo9K9C_4J2rOqTebptB-gr29PvyzPi4uPZ--WJxfFqhbQF4zbSmGBG2OtgAZrWirGNFbMcqstp6LBZixrMCkrrIXVipakoUzUDDQpD9Cbne52WHWm0cb3UbVyG12n4o0Mysm_M95dy3X4IYExKBnPAkeTQAzfB5N62bmkTdsqb8KQJCMgSMUhg4f_gJswRJ8_N2oJDJiQKlOvdtRatUY6b0OuqtfGm1w8eGNdvj4RFdS85mP14h48r8Z0Tt_HL3a8jiGlPO7bnwKWo7cyeys5zbEcvc0Pnv85nzt8MjMDLydAJa3a7J_XLt1xpWBV_Vto6tSl3vy8zav4TVJWslp-uFrK6nL5iV7xz_Iy88c7ftVt_tfkL1WwxuQ</recordid><startdate>20021101</startdate><enddate>20021101</enddate><creator>Kobayashi, H</creator><creator>Kobayashi, K</creator><creator>Okinami, S</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>Copyright 2002 British Journal of Ophthalmology</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20021101</creationdate><title>Macular hole and myopic refraction</title><author>Kobayashi, H ; Kobayashi, K ; Okinami, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b591t-78f4a090deff91d0c63a77c0a7f8fcf869d0e3860e02340c9fca632d679571c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Age</topic><topic>Age of Onset</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Clinical Science</topic><topic>Diabetic retinopathy</topic><topic>Female</topic><topic>Humans</topic><topic>Japan</topic><topic>Macular degeneration</topic><topic>macular hole</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myopia</topic><topic>Myopia - etiology</topic><topic>Myopia - pathology</topic><topic>Myopia - surgery</topic><topic>myopic refraction</topic><topic>Ophthalmology</topic><topic>Prospective Studies</topic><topic>Retinal Perforations - complications</topic><topic>Retinal Perforations - pathology</topic><topic>Retinal Perforations - surgery</topic><topic>Retinopathies</topic><topic>Sulfur</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Vision disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kobayashi, H</creatorcontrib><creatorcontrib>Kobayashi, K</creatorcontrib><creatorcontrib>Okinami, S</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kobayashi, H</au><au>Kobayashi, K</au><au>Okinami, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Macular hole and myopic refraction</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>86</volume><issue>11</issue><spage>1269</spage><epage>1273</epage><pages>1269-1273</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>Aim: To study a correlation between age at the onset and myopic refraction and axial length in patients with idiopathic macular hole and to evaluate a correlation of the size and surgical outcome of macular hole with axial length. Methods: In a prospective clinical study, 94 eyes of 91 patients with stage III and IV idiopathic macular hole were enrolled. A standardised surgical protocol was performed using vitrectomy and gas tamponade. This study evaluated the size of macular hole and the rate of anatomical and functional success of surgery. To assess dimensions of macular hole, confocal laser scanning tomography was employed. Results: Age at the onset showed a significant increase in relation to myopic refraction and axial length (r = 0.689, p <0.0001; r = 0.723, p <0.0001). Mean age was 52.1 (SD 10.3) years in eyes with axial length of 26.0 mm and longer, 64.5 (8.5) years in eyes with 23.0 to 25.99 mm, and 69.8 (5.7) years in eyes with shorter than 23.0 mm. In stage III macular holes, mean area of macular hole was 0.291 (0.134) mm2 in eyes with 26.0 mm and longer, 0.283 (0.170) mm2 in eyes with 23.0 to 25.99 mm, and 0.296 (0.160) mm2 in eyes with shorter than 23.0 mm. No significant difference was found in area, volume, and depth of macular hole, and area of cuff and retinal striae among the three groups. Overall anatomical success rate and logMAR visual improvement in stage III macular holes were 100% (19 of 19 eyes) and −0.575 (0.174) in eyes with 26.0 mm and longer, 100% (16 of 16 eyes) and −0.536 (0.174) in eyes with 23.0 to 25.99 mm, and 95% (40 of 42 eyes) and −0.599 (0.201) in eyes with shorter than 23.0 mm; there was no significant difference. Conclusions: Macular hole develops in eyes with the severer myopia at the younger age. Myopic refraction appears not to influence the size and surgical outcomes of macular holes. Further investigation on more cases is needed.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>12386087</pmid><doi>10.1136/bjo.86.11.1269</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Age of Onset Aged Aged, 80 and over Biological and medical sciences Clinical Science Diabetic retinopathy Female Humans Japan Macular degeneration macular hole Male Medical imaging Medical sciences Middle Aged Myopia Myopia - etiology Myopia - pathology Myopia - surgery myopic refraction Ophthalmology Prospective Studies Retinal Perforations - complications Retinal Perforations - pathology Retinal Perforations - surgery Retinopathies Sulfur Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Surgical outcomes Treatment Outcome Vision disorders |
| title | Macular hole and myopic refraction |
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