Predictive Factors for the Success of a Macular Hole Surgery

Abstract

The aim of this study was to evaluate the long-term functional outcomes and predictive factors of vision in macular hole surgery. Materials and Methods: In this cross-sectional study, all patients who underwent MH and vitrectomy between 2014 and 2016 were enrolled in this study. Patients' information including age, sex, corrected visual acuity, duration of onset of symptoms, and OCT characteristics before surgery (including macular center thickness) were recorded. After surgery, the results were recorded and compared with corrected visual acuity after surgery (at one month, six months and then annually) and postoperative OCT characteristics (including central thickness of the defector layer defect). Results: The mean age of the patients was 64.91±9.86 years and 51.4% of the patients were male. After surgery, 11 patients (31.4%) had unsuccessful outcome and 24 patients (68.6%) had successful repair. The BCVA level of patients in the successful treatment group was significantly reduced improved. In evaluating the risk factors involved, patients' age (p=0.026) and central macular hole thickness (p=0.004) are directly related to the functional outcomes of surgery.