Prognosis of fellow eyes in idiopathic macular hole cases
Akiba, J.; Trempe, C.L.
Nippon Ganka Gakkai Zasshi 95(7): 686-691
1991
ISSN/ISBN: 0029-0203 PMID: 1927749 Document Number: 386709
We studied contralateral eyes in 62 cases of unilateral idiopathic macular hole to determine their prognoses and risk factors for this disorder. At the initial examination, 11 of 62 eyes (18%) showed a macular cystic lesion, and 18 (29%) showed a yellow spot in the fovea. During a mean follow-up of 39 months, macular holes eventually developed in 6 of the 11 eyes (55%) with macular cystic lesion and in 4 of 18 eyes (22%) with a yellow spot. Macular holes, however, did not develop in eyes with vitreous separation in the fovea or with a normal macula. Moreover, the macular lesion apparently improved in 14 of 29 eyes (48%) with early stage macular holes. These fourteen eyes showed vitreous separation in the fovea at the initial examination or at the follow-up examination. Therefore, eyes with macular cystic lesions and without posterior vitreous separation are at high risk of a macular hole developing, although these eyes have a chance for improvement by spontaneous vitreous separation.