Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole

Iori Wada, Shigeo Yoshida, Yoshiyuki Kobayashi, Yedi Zhou, Keijiro Ishikawa, Shintaro Nakao, Toshio Hisatomi, Yasuhiro Ikeda, Tatsuro Ishibashi, Koh-hei Sonoda Department of Ophthalmology, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan Purpose: The purpose of this s...

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Autores principales:	Wada I, Yoshida S, Kobayashi Y, Zhou Y, Ishikawa K, Nakao S, Hisatomi T, Ikeda Y, Ishibashi T, Sonoda KH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	macular hole metamorphopsia optical coherence tomography Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/6165d218caf74ec883481b6402c2b323
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spelling	oai:doaj.org-article:6165d218caf74ec883481b6402c2b3232021-12-02T02:41:32ZQuantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole1177-5483https://doaj.org/article/6165d218caf74ec883481b6402c2b3232017-09-01T00:00:00Zhttps://www.dovepress.com/quantifying-metamorphopsia-with-m-charts-in-patients-with-idiopathic-m-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Iori Wada, Shigeo Yoshida, Yoshiyuki Kobayashi, Yedi Zhou, Keijiro Ishikawa, Shintaro Nakao, Toshio Hisatomi, Yasuhiro Ikeda, Tatsuro Ishibashi, Koh-hei Sonoda Department of Ophthalmology, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan Purpose: The purpose of this study was to determine the degree of metamorphopsia using M-CHARTS™ in patients with idiopathic macular hole before and after pars plana vitrectomy and internal limiting membrane (ILM) peeling. Patients and methods: The records of 22 eyes of 22 patients with a full-thickness macular hole who underwent pars plana vitrectomy and ILM peeling were reviewed. All patients underwent a complete ophthalmic examination including spectral-domain optical coherence tomography (OCT). Horizontal metamorphopsia (MH) and vertical metamorphopsia (MV) scores were determined using M-CHARTS at the same time. The time course of changes in metamorphopsia and the relationship between best-corrected visual acuity (BCVA) and OCT parameters were assessed. Results: Sealing of the macular hole was noted in all eyes after surgery. BCVA improved significantly from 1 month after surgery (P<0.001). The MV score was significantly higher than the MH score before surgery (P<0.05) and improved significantly from 1 month after surgery (P<0.03). The MH score improved significantly at 6 months after surgery (P<0.001). The postoperative MV and MH scores became closer to one another from 1 month after surgery. Moreover, the MV score was higher than the MH score at all postoperative assessments. There was a significant correlation between the MV and MH scores at all follow-up assessments. There was no significant correlation between BCVA and the MV or MH score at any follow-up assessment. Conclusion: The satisfaction of the patients with macular hole after surgery cannot be necessarily measured by BCVA alone, because M-scores were not correlated to BCVA in postoperative evaluation. Therefore, evaluation of the MV and MH scores can be an independent treatment outcome in addition to BCVA. Keywords: macular hole, metamorphopsia, optical coherence tomographyWada IYoshida SKobayashi YZhou YIshikawa KNakao SHisatomi TIkeda YIshibashi TSonoda KHDove Medical Pressarticlemacular holemetamorphopsiaoptical coherence tomographyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1719-1726 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	macular hole metamorphopsia optical coherence tomography Ophthalmology RE1-994
spellingShingle	macular hole metamorphopsia optical coherence tomography Ophthalmology RE1-994 Wada I Yoshida S Kobayashi Y Zhou Y Ishikawa K Nakao S Hisatomi T Ikeda Y Ishibashi T Sonoda KH Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole
description	Iori Wada, Shigeo Yoshida, Yoshiyuki Kobayashi, Yedi Zhou, Keijiro Ishikawa, Shintaro Nakao, Toshio Hisatomi, Yasuhiro Ikeda, Tatsuro Ishibashi, Koh-hei Sonoda Department of Ophthalmology, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan Purpose: The purpose of this study was to determine the degree of metamorphopsia using M-CHARTS™ in patients with idiopathic macular hole before and after pars plana vitrectomy and internal limiting membrane (ILM) peeling. Patients and methods: The records of 22 eyes of 22 patients with a full-thickness macular hole who underwent pars plana vitrectomy and ILM peeling were reviewed. All patients underwent a complete ophthalmic examination including spectral-domain optical coherence tomography (OCT). Horizontal metamorphopsia (MH) and vertical metamorphopsia (MV) scores were determined using M-CHARTS at the same time. The time course of changes in metamorphopsia and the relationship between best-corrected visual acuity (BCVA) and OCT parameters were assessed. Results: Sealing of the macular hole was noted in all eyes after surgery. BCVA improved significantly from 1 month after surgery (P<0.001). The MV score was significantly higher than the MH score before surgery (P<0.05) and improved significantly from 1 month after surgery (P<0.03). The MH score improved significantly at 6 months after surgery (P<0.001). The postoperative MV and MH scores became closer to one another from 1 month after surgery. Moreover, the MV score was higher than the MH score at all postoperative assessments. There was a significant correlation between the MV and MH scores at all follow-up assessments. There was no significant correlation between BCVA and the MV or MH score at any follow-up assessment. Conclusion: The satisfaction of the patients with macular hole after surgery cannot be necessarily measured by BCVA alone, because M-scores were not correlated to BCVA in postoperative evaluation. Therefore, evaluation of the MV and MH scores can be an independent treatment outcome in addition to BCVA. Keywords: macular hole, metamorphopsia, optical coherence tomography
format	article
author	Wada I Yoshida S Kobayashi Y Zhou Y Ishikawa K Nakao S Hisatomi T Ikeda Y Ishibashi T Sonoda KH
author_facet	Wada I Yoshida S Kobayashi Y Zhou Y Ishikawa K Nakao S Hisatomi T Ikeda Y Ishibashi T Sonoda KH
author_sort	Wada I
title	Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole
title_short	Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole
title_full	Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole
title_fullStr	Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole
title_full_unstemmed	Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole
title_sort	quantifying metamorphopsia with m-charts in patients with idiopathic macular hole
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/6165d218caf74ec883481b6402c2b323
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Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole

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