Correlation between optical coherence tomography data and biomicrocopic interpretation of idiopathic macular hole

PURPOE: Thi tudy wa deigned to ae the new clinical information given by optical coherence tomography in patient with idiopathic macular hole. METHOD: ixty-one conecutive eye of 47 patient with idiopathic macular hole at different tage of development were tudied clinically. Patient with myopia, epiretinal macular membrane, and any other ocular dieae were excluded. Bet-refracted viual acuity and biomicrocopic fundu examination with macular contact len were performed. Optical coherence tomography wa performed through a dilated pupil. The optical coherence tomography finding were correlated with the Ga biomicrocopic claification of idiopathic macular hole. REULT: Optical coherence tomography provided different or additional information in 22 of 24 eye (91.7%) biomicrocopically claified in tage 1-A and tage 1-B, according to the Ga macular hole claification, and in even of 37 eye (18.9%) biomicrocopically claified in tage 2, 3, and 4. The main difference from Ga biomicrocopic claification wa a macular peudocyt intead of a foveolar detachment in the firt tage. The main additional optical coherence tomography obervation, not detected biomicrocopically, wa the preence of retinal tiue on the bottom of the macular hole. Optical coherence tomography may be particularly ueful in evaluation of early tage in development of idiopathic macular hole. CONCLUION: Compared with claic biomicrocopical obervation, optical coherence tomography frequently give different or additional information on idiopathic macular hole, epecially in it early tage. Correct diagnoi and urgical indication of idiopathic macular hole may benefit from optical coherence tomography imaging.