Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?

Abstract Background The aim of this retrospective study was to evaluate commonly used clinical and OCT-morphological parameters, including perifoveal pseudocysts, as prognostic factors for postoperative outcome after macular hole surgery in a retinal referral clinic in North Rhine-Westphalia, German...

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Autores principales:	M. Roth, N. Schön, L. Jürgens, D. Engineer, K. Kirchhoff, R. Guthoff, J. Schmidt
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Macular hole Prognostic parameters Vitreoretinal surgery Optical coherence tomography Vitrectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ae01bd0b47304cf085f3cd304ec3b661
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spelling	oai:doaj.org-article:ae01bd0b47304cf085f3cd304ec3b6612021-11-21T12:42:58ZFrequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?10.1186/s12886-021-02164-21471-2415https://doaj.org/article/ae01bd0b47304cf085f3cd304ec3b6612021-11-01T00:00:00Zhttps://doi.org/10.1186/s12886-021-02164-2https://doaj.org/toc/1471-2415Abstract Background The aim of this retrospective study was to evaluate commonly used clinical and OCT-morphological parameters, including perifoveal pseudocysts, as prognostic factors for postoperative outcome after macular hole surgery in a retinal referral clinic in North Rhine-Westphalia, Germany. Methods and material This was a retrospective analysis of all patients who underwent surgery because of idiopathic MH between 2011 and 2017 in Augenklinik Tausendfensterhaus, Duisburg, Germany. Statistical evaluation of clinical and OCT-based parameters, including the areas of intraretinal pseudocysts, was conducted. The main statistical outcomes were surgical success and visual acuity. Only parameters with a highly significant correlation to the outcome parameters (postoperative visual acuity (VA); surgical success) in univariate analysis were entered in linear and logistic regression analyses. Results A total of 189 eyes of 178 patients (71.4% female; mean age 67.5 ± 8.2 a) who underwent surgery because of MH were included. The overall closure rate was 86.8%. The mean best corrected VA increased from 0.7 ± 0.3 logMAR before surgery to 0.5 ± 0.3 logMAR (p < 0.0001). While several clinical and OCT-based parameters as well as calculated indices showed a significant correlation with the outcome measures, the regression analysis showed that the minimum linear diameter was the only parameter that both predicted surgical success (p = 0.015) and was correlated with postoperative VA (p < 0.001). Conclusion The minimum linear diameter serves as an easily assessed prognostic factor with the best predictive properties. This result is of great importance for clinical practice, as it simplifies the postsurgical prognosis.M. RothN. SchönL. JürgensD. EngineerK. KirchhoffR. GuthoffJ. SchmidtBMCarticleMacular holePrognostic parametersVitreoretinal surgeryOptical coherence tomographyVitrectomyOphthalmologyRE1-994ENBMC Ophthalmology, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Macular hole Prognostic parameters Vitreoretinal surgery Optical coherence tomography Vitrectomy Ophthalmology RE1-994
spellingShingle	Macular hole Prognostic parameters Vitreoretinal surgery Optical coherence tomography Vitrectomy Ophthalmology RE1-994 M. Roth N. Schön L. Jürgens D. Engineer K. Kirchhoff R. Guthoff J. Schmidt Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?
description	Abstract Background The aim of this retrospective study was to evaluate commonly used clinical and OCT-morphological parameters, including perifoveal pseudocysts, as prognostic factors for postoperative outcome after macular hole surgery in a retinal referral clinic in North Rhine-Westphalia, Germany. Methods and material This was a retrospective analysis of all patients who underwent surgery because of idiopathic MH between 2011 and 2017 in Augenklinik Tausendfensterhaus, Duisburg, Germany. Statistical evaluation of clinical and OCT-based parameters, including the areas of intraretinal pseudocysts, was conducted. The main statistical outcomes were surgical success and visual acuity. Only parameters with a highly significant correlation to the outcome parameters (postoperative visual acuity (VA); surgical success) in univariate analysis were entered in linear and logistic regression analyses. Results A total of 189 eyes of 178 patients (71.4% female; mean age 67.5 ± 8.2 a) who underwent surgery because of MH were included. The overall closure rate was 86.8%. The mean best corrected VA increased from 0.7 ± 0.3 logMAR before surgery to 0.5 ± 0.3 logMAR (p < 0.0001). While several clinical and OCT-based parameters as well as calculated indices showed a significant correlation with the outcome measures, the regression analysis showed that the minimum linear diameter was the only parameter that both predicted surgical success (p = 0.015) and was correlated with postoperative VA (p < 0.001). Conclusion The minimum linear diameter serves as an easily assessed prognostic factor with the best predictive properties. This result is of great importance for clinical practice, as it simplifies the postsurgical prognosis.
format	article
author	M. Roth N. Schön L. Jürgens D. Engineer K. Kirchhoff R. Guthoff J. Schmidt
author_facet	M. Roth N. Schön L. Jürgens D. Engineer K. Kirchhoff R. Guthoff J. Schmidt
author_sort	M. Roth
title	Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?
title_short	Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?
title_full	Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?
title_fullStr	Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?
title_full_unstemmed	Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?
title_sort	frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ae01bd0b47304cf085f3cd304ec3b661
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Frequently assessed and used prognostic factors for outcome after macular hole surgery: which is better?

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