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Journal of Ophthalmology
Volume 2016, Article ID 1769794, 6 pages
Research Article

Restoration of the Ellipsoid Zone and Visual Prognosis at 1 Year after Surgical Macular Hole Closure

Division of Ophthalmology and Visual Science, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 9518510, Japan

Received 7 November 2015; Revised 6 January 2016; Accepted 11 January 2016

Academic Editor: Hyeong Gon Yu

Copyright © 2016 Hiruma Hasebe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate the restoration of the ellipsoid zone (EZ) and its influence on visual prognosis 1 year after surgical macular hole (MH) closure. Method. Subjects were patients with stage 2, 3, or 4 idiopathic MH who underwent primary vitrectomy that resulted in successful hole closure. Nineteen eyes with both EZ disruption with foveal detachment and a continuous external limiting membrane on optical coherence tomography during the early postoperative period were included in this study. Result. EZ disruption was restored in 10 eyes (53%, Group A) and remained in 9 eyes (47%, Group B) at 1 year after surgery. In Group B, the diameter of the residual EZ disruption was μm. LogMAR visual acuity (VA) 1 year after surgery was significantly better than preoperative VA in each group (Group A: ; ; Group B: ; ), but there was no significant difference between the 2 groups (). There was no significant correlation between logMAR VA and EZ disruption diameter at 1 year after surgery. Conclusion. EZ was restored in 53% of eyes at 1 year after surgical closure of idiopathic MH. Mean residual EZ disruption diameter was μm. Neither resolved nor residual EZ disruption influenced postoperative VA.