Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery

Objectives:To assess changes in reflectivity of the retinal pigment epithelium (RPE), ellipsoid zone (EZ), and external limiting membrane (ELM) on spectral domain-optical coherence tomography (SD-OCT) images and the effects of reflectivity changes on visual acuity improvement after vitrectomy in mac...

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Main Authors: Büşra Yılmaz Tuğan, Levent Karabaş, Fatih Yenihayat, Sevgi Subaşı, Enes Kesim, Berna Özkan
Format: Article
Language:English
Published: Galenos Yayinevi 2020-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/correlation-of-visual-recovery-and-ncreased-ellips/41733
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author Büşra Yılmaz Tuğan
Levent Karabaş
Fatih Yenihayat
Sevgi Subaşı
Enes Kesim
Berna Özkan
author_facet Büşra Yılmaz Tuğan
Levent Karabaş
Fatih Yenihayat
Sevgi Subaşı
Enes Kesim
Berna Özkan
author_sort Büşra Yılmaz Tuğan
collection DOAJ
description Objectives:To assess changes in reflectivity of the retinal pigment epithelium (RPE), ellipsoid zone (EZ), and external limiting membrane (ELM) on spectral domain-optical coherence tomography (SD-OCT) images and the effects of reflectivity changes on visual acuity improvement after vitrectomy in macular hole patients.Materials and Methods:Twenty-four eyes of 24 patients with idiopathic full-thickness macular hole closed after vitrectomy were retrospectively reviewed. The “plot profile” function of the medical imaging software was used by a single masked physician to analyze RPE, EZ, and ELM reflectivity on OCT images at postoperative 1 month and 12 months.Results:Absolute and relative EZ reflectivity showed highly significant increases at postoperative 12 months compared to 1 month (p<0.001 and p<0.001, respectively). Absolute and relative EZ reflectivity changes from postoperative month 1 to month 12 after macular hole surgery were significantly correlated with best corrected visual acuity improvement (p=0.012 and p=0.020, respectively).Conclusion:EZ reflectivity can be a predictor of functional and anatomical improvement after macular hole surgery.
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spelling doaj.art-67f80951925d4659bb98ca5bd58cf6ea2023-02-15T16:16:33ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612020-10-0150528328710.4274/tjo.galenos.2020.2145613049054Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole SurgeryBüşra Yılmaz Tuğan0Levent Karabaş1Fatih Yenihayat2Sevgi Subaşı3Enes Kesim4Berna Özkan5 Kocaeli Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Kocaeli, Türkiye Kocaeli Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Kocaeli, Türkiye Dünyagöz Kocaeli Hastanesi, Göz Hastalıkları Kliniği, Kocaeli, Türkiye Kocaeli Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Kocaeli, Türkiye Tuzla Devlet Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Acıbadem Mehmet Ali Aydınlar Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye Objectives:To assess changes in reflectivity of the retinal pigment epithelium (RPE), ellipsoid zone (EZ), and external limiting membrane (ELM) on spectral domain-optical coherence tomography (SD-OCT) images and the effects of reflectivity changes on visual acuity improvement after vitrectomy in macular hole patients.Materials and Methods:Twenty-four eyes of 24 patients with idiopathic full-thickness macular hole closed after vitrectomy were retrospectively reviewed. The “plot profile” function of the medical imaging software was used by a single masked physician to analyze RPE, EZ, and ELM reflectivity on OCT images at postoperative 1 month and 12 months.Results:Absolute and relative EZ reflectivity showed highly significant increases at postoperative 12 months compared to 1 month (p<0.001 and p<0.001, respectively). Absolute and relative EZ reflectivity changes from postoperative month 1 to month 12 after macular hole surgery were significantly correlated with best corrected visual acuity improvement (p=0.012 and p=0.020, respectively).Conclusion:EZ reflectivity can be a predictor of functional and anatomical improvement after macular hole surgery. http://www.oftalmoloji.org/archives/archive-detail/article-preview/correlation-of-visual-recovery-and-ncreased-ellips/41733 absolute and relative reflectivityellipsoid zone reflectivitymacular holevitrectomy
spellingShingle Büşra Yılmaz Tuğan
Levent Karabaş
Fatih Yenihayat
Sevgi Subaşı
Enes Kesim
Berna Özkan
Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery
Türk Oftalmoloji Dergisi
absolute and relative reflectivity
ellipsoid zone reflectivity
macular hole
vitrectomy
title Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery
title_full Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery
title_fullStr Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery
title_full_unstemmed Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery
title_short Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery
title_sort correlation of visual recovery and increased ellipsoid zone reflectivity after successful macular hole surgery
topic absolute and relative reflectivity
ellipsoid zone reflectivity
macular hole
vitrectomy
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/correlation-of-visual-recovery-and-ncreased-ellips/41733
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