TWO YEARS DESCRIPTIVE STUDY OF MACULAR HOLE PATIENTS OPERATED IN DR. KARIADI GENERAL HOSPITAL, SEMARANG
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macular hole, macular hole index, hole forming factor
Abstract
Introduction & Objectives
Macular hole (MH) is a vitreomacular interface disorder that could cause visual impairment. Clinical
characteristics of MH are important for predicting MH treatment outcomes. This study purpose was
to describe MH patients’ characteristics and postoperative outcomes in Dr. Kariadi Hospital.
Methods
A retrospective study held on January 2021–December 2022 utilizing patients’ medical records.
Preoperative data: sex, age, symptoms, duration of symptoms, origin, preoperative visual acuity
(VA), modified Gass classification stage, macular hole index (MHI), and hole forming factor (HFF)
were obtained. Postoperative outcomes data: postoperative VA and anatomical closure were also
collected.
Results
20(20 eyes) patients were obtained, with 14(70%) female, 12(60%) aged >60 years old, 13(65%)
metamorphopsia, 12(60%) central visual loss, 10(50%) preoperative VA 6/24-6/60, 10(50%) duration
of symptoms <3 months, and 16(80%) idiopathic origin. OCT (Ocular Coherence Tomography)
findings revealed base diameter mean was 780,7 um(+ SD 312). 13 patients (65%) stage 3 of MH,
12(60%) MHI <0,5, 12(60%) HFF > 0,9. All patients underwent MH surgery procedures.
Postoperative examination showed 10 patients(50%) with VA 6/6-6/20. 11(100%) with preoperative
VA>6/60, 10(100%) with duration of symptoms <3 months, 8(100%) with MHI > 0,5, and 11(100%)
with HFF > 0,9 had improved visual acuity and anatomical closure. It also revealed 17(85%) had
anatomical closure.
Conclusion
The most common characteristics found in MH patients were female sex, age >60 years old, and
disorder of idiopathic origin. Preoperative VA, duration of symptoms <3 months before surgery, MHI
> 0,5, and HFF > 0,9 were positive prognostic factors for better postoperative functional and
anatomical outcomes.
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Authors
Copyright (c) 2023 Andreas Tigor Partomuan, Arief Wildan
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