Comparison Echographic Findings with Preoperative Clinical Features of Idio-pathic Macular Hole

Overview

Purpose:
In retrospective study to compare echographic features of posteriorvitreous face and vitreo-macular region with preoperative findings by pars planavitrectomy of idiopathic macular hole.Material and Method: The group includes 27 eyes with idiopathic macular hole.11 in II. and 16 in III. stage by Gass’s surface spike; 4. 10-times (37,0 %) the combination of 1. - 3. and/or some otherpathology of vitreous. 3 eyes (11,2 %) were without relevant pathologic echographic findings. Preoperatively was1. the presence of a pseudooperculumconfirmedin 9 eyes (33,3 %). 6-times (22,2 %) the posterior vitreous face had separated by corevitrectomy, no active elevation was needed. In 21 eyes (77,8 %) the active elevationof posterior vitreous face was performed, 6-times (28,4 %) was the elevation moredifficult.Conclusion: Echographic features of posterior vitreous face and vitreomacularregion correlate with preoperative findings by pars plana vitrectomy and determine a strategy of surgical intervention.clasification. The spectrum of identifiableechographic features included: 1. partial posterior vitreous face separation; 2.presence of a pseudooperculum; 3. high spike of posterior vitreous face over themacula and/or optic nerve head and 4. combination of these findings, eventuallysome other pathology of vitreous. Peroperative clinical findings included: 1.presence of a pseudooperculum; 2. facility of elevation and separation of posterior vitreous face.Results: The echographic findings showed: 1. 5-times (18,5 %) partial posteriorvitreous face separation; 2. 5-times (18,5 %) the presence of a pseudooperculum;3. 4-times (14,8 %) the high spike of posterior vitreous face in front of the retinal

Key words:
echographic findings, idiopathic macular hole, pars plana vitrectomy