Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole

Iori Wada, Shigeo Yoshida, Yoshiyuki Kobayashi, Yedi Zhou, Keijiro Ishikawa, Shintaro Nakao, Toshio Hisatomi, Yasuhiro Ikeda, Tatsuro Ishibashi, Koh Hei Sonoda

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2 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to determine the degree of metamorphopsia using M-CHARTS™ in patients with idiopathic macular hole before and after pars plana vitrectomy and internal limiting membrane (ILM) peeling. Patients and methods: The records of 22 eyes of 22 patients with a full-thickness macular hole who underwent pars plana vitrectomy and ILM peeling were reviewed. All patients underwent a complete ophthalmic examination including spectral-domain optical coherence tomography (OCT). Horizontal metamorphopsia (MH) and vertical metamorphopsia (MV) scores were determined using M-CHARTS at the same time. The time course of changes in metamorphopsia and the relationship between best-corrected visual acuity (BCVA) and OCT parameters were assessed. Results: Sealing of the macular hole was noted in all eyes after surgery. BCVA improved significantly from 1 month after surgery (P,0.001). The MV score was significantly higher than the MH score before surgery (P,0.05) and improved significantly from 1 month after surgery (P,0.03). The MH score improved significantly at 6 months after surgery (P,0.001). The postoperative MV and MH scores became closer to one another from 1 month after surgery. Moreover, the MV score was higher than the MH score at all postoperative assessments. There was a significant correlation between the MV and MH scores at all follow-up assessments. There was no significant correlation between BCVA and the MV or MH score at any follow-up assessment. Conclusion: The satisfaction of the patients with macular hole after surgery cannot be necessarily measured by BCVA alone, because M-scores were not correlated to BCVA in postoperative evaluation. Therefore, evaluation of the MV and MH scores can be an independent treatment outcome in addition to BCVA.

Original languageEnglish
Pages (from-to)1719-1726
Number of pages8
JournalClinical Ophthalmology
Volume11
DOIs
Publication statusPublished - Sep 20 2017

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Retinal Perforations
Vision Disorders
Visual Acuity
Temazepam
Vitrectomy
Optical Coherence Tomography
Membranes
Patient Satisfaction

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole. / Wada, Iori; Yoshida, Shigeo; Kobayashi, Yoshiyuki; Zhou, Yedi; Ishikawa, Keijiro; Nakao, Shintaro; Hisatomi, Toshio; Ikeda, Yasuhiro; Ishibashi, Tatsuro; Sonoda, Koh Hei.

In: Clinical Ophthalmology, Vol. 11, 20.09.2017, p. 1719-1726.

Research output: Contribution to journalArticle

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abstract = "Purpose: The purpose of this study was to determine the degree of metamorphopsia using M-CHARTS™ in patients with idiopathic macular hole before and after pars plana vitrectomy and internal limiting membrane (ILM) peeling. Patients and methods: The records of 22 eyes of 22 patients with a full-thickness macular hole who underwent pars plana vitrectomy and ILM peeling were reviewed. All patients underwent a complete ophthalmic examination including spectral-domain optical coherence tomography (OCT). Horizontal metamorphopsia (MH) and vertical metamorphopsia (MV) scores were determined using M-CHARTS at the same time. The time course of changes in metamorphopsia and the relationship between best-corrected visual acuity (BCVA) and OCT parameters were assessed. Results: Sealing of the macular hole was noted in all eyes after surgery. BCVA improved significantly from 1 month after surgery (P,0.001). The MV score was significantly higher than the MH score before surgery (P,0.05) and improved significantly from 1 month after surgery (P,0.03). The MH score improved significantly at 6 months after surgery (P,0.001). The postoperative MV and MH scores became closer to one another from 1 month after surgery. Moreover, the MV score was higher than the MH score at all postoperative assessments. There was a significant correlation between the MV and MH scores at all follow-up assessments. There was no significant correlation between BCVA and the MV or MH score at any follow-up assessment. Conclusion: The satisfaction of the patients with macular hole after surgery cannot be necessarily measured by BCVA alone, because M-scores were not correlated to BCVA in postoperative evaluation. Therefore, evaluation of the MV and MH scores can be an independent treatment outcome in addition to BCVA.",
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