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

研究成果: ジャーナルへの寄稿記事

2 引用 (Scopus)

抄録

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.

元の言語英語
ページ(範囲)1719-1726
ページ数8
ジャーナルClinical Ophthalmology
11
DOI
出版物ステータス出版済み - 9 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

これを引用

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.

:: Clinical Ophthalmology, 巻 11, 20.09.2017, p. 1719-1726.

研究成果: ジャーナルへの寄稿記事

Wada, Iori ; Yoshida, Shigeo ; Kobayashi, Yoshiyuki ; Zhou, Yedi ; Ishikawa, Keijiro ; Nakao, Shintaro ; Hisatomi, Toshio ; Ikeda, Yasuhiro ; Ishibashi, Tatsuro ; Sonoda, Koh Hei. / Quantifying metamorphopsia with M-CHARTS in patients with idiopathic macular hole. :: Clinical Ophthalmology. 2017 ; 巻 11. pp. 1719-1726.
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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.",
author = "Iori Wada and Shigeo Yoshida and Yoshiyuki Kobayashi and Yedi Zhou and Keijiro Ishikawa and Shintaro Nakao and Toshio Hisatomi and Yasuhiro Ikeda and Tatsuro Ishibashi and Sonoda, {Koh Hei}",
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AU - Wada, Iori

AU - Yoshida, Shigeo

AU - Kobayashi, Yoshiyuki

AU - Zhou, Yedi

AU - Ishikawa, Keijiro

AU - Nakao, Shintaro

AU - Hisatomi, Toshio

AU - Ikeda, Yasuhiro

AU - Ishibashi, Tatsuro

AU - Sonoda, Koh Hei

PY - 2017/9/20

Y1 - 2017/9/20

N2 - 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.

AB - 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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