Fellow eyes in cases of macular hole. Biomicroscopic study of the vitreous
C. L. Trempe, J. J. Weiter and H. Furukawa
One hundred thirty eyes of 126 patients with idiopathic macular holes were
studied by means of indirect ophthalmoscopy, biomicroscopy, color fundus
photography, and fluorescein angiography. Posterior vitreous detachment was
absent in 61% of these eyes; opacities interpreted as opercula were found
in 78 eyes (60%). Forty-nine fellow eyes were followed up for a mean period
of 47 months. Eight of 28 fellow eyes without posterior vitreous detachment
and none of 21 fellow eyes with posterior vitreous detachment developed
macular holes, suggesting that vitreous attachment to the macula is closely
related to the development of macular holes. The difference between the
incidences of macular hole development in eyes with and without posterior
vitreous detachment is statistically significant.
