MedPath

Preoperative Progression of Macular Holes

Completed
Conditions
Macular Holes
Registration Number
NCT02203929
Lead Sponsor
Glostrup University Hospital, Copenhagen
Brief Summary

Knowledge of the natural history and progression of macular holes is mainly limited to the studies from the pre-optical coherence tomography era. By observing macular holes preoperatively we are able to determine the extent of the preoperative macular hole progression.

At our institution macular holes are treated in an elective setting. The majority of macular holes undergo a 2-step sequence of phacoemulsification and intraocular lens implantation followed by vitrectomy.

We wish to observe the effect of time and cataract surgery on the progression of macular holes prior to vitrectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
37
Inclusion Criteria
  • Idiopathic macular hole stage II-IV
  • Informed consent
  • Duration of symptoms ≤ 24 months
Exclusion Criteria
  • Previous vitreomacular surgery
  • Ocular trauma
  • Significant visual function affecting disease (proliferative diabetic retinopathy, diabetic macular edema, exudative macular degeneration)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Macular hole Progression3 months preoperative

Serial optical coherence tomography (OCT) measurements in the preoperative period. The size of macular hole is determined by measuring the macular hole minimal linear diameter (µm).

Size and stage of macular hole is determined at primary evaluation at tertiary ophthalmic center. Initial scan is followed by pre-vitrectomy scan if patient is pseudophakic. Initial OCT scan is followed by pre- and postcataract as well as pre-vitrectomy OCT scan if patient is pseudophakic.

Secondary Outcome Measures
NameTimeMethod
Early Treatment Diabetic Retinopathy Study (ETDRS) Visual Acuity3 months postoperative

Visual acuity in ETDRS letters measured 3 month postoperatively

Trial Locations

Locations (1)

Glostrup Hospital, University of Copenhagen

🇩🇰

Glostrup, Denmark

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