J Korean Ophthalmol Soc.  2002 Dec;43(12):2430-2438.

The Relation between Idiopathic Macular Hole and Perifoveal Vitreous Detachment

• Chung DH
• Ham DI
• Kang SW

Abstract

PURPOSE: To determine the relation between the pathogenesis of idiopathic macular hole and perifoveal vitreous detachment using OCT scan.
METHODS
On 28 eyes with idiopathic macular hole stage 1,2,3 which was graded according to using the classification described by Gass and on 123 eyes from the normal contrast group, OCT scan were performed to obtain axial views of the vitreoretinal interface in the posterior pole. The incidence of perifoveal vitreous detachment was assessed.
RESULTS
18 of the 28 eyes (64.2%) from the macular hole group and 15 of the 123 eyes (12.1%) from the normal contrast group had perifoveal vitreous detachment on OCT scan. The difference was statistically significant (p<0.05).There was no statistically significant difference on the incidence of perifoveal vitreous detachment according to stage of macular hole.
CONCLUSIONS
These results led to the conclusion that there is a significant relation between the pathogenesis of macular hole and the papillofoveal traction.

Keyword

Macular hole; Optical coherence tomography; Perifoveal vitreous detachment

MeSH Terms

Classification
Incidence
Retinal Perforations*
Tomography, Optical Coherence
Traction
Vitreous Detachment*