Macular hole

Retinopathy

Retinal

Ophthalmology

Vitrectomy

Endocrinology

Foveal

Maculopathy

Radiology

Tomography

Fundus (uterus)

Optical coherence tomography

Visual acuity

Medicine

Optometry

Diabetes mellitus

Acta Ophthalmologica

Purpose To assess the usefulness of optical coherence tomography (OCT) for better differential diagnosis of macular holes in comparison with biomicroscopical fundus analysis. Methods We reviewed the files of 25 eyes of 24 patients who were diagnosed as having a macular hole on OCT examination and biomicroscopical fundus analysis. Each eye underwent six radial 3‐mm OCT scans centered on the macula, one 6‐mm vertical and one 6‐mm horizontal scan. Retinal thickness was measured at the foveal center and 750 μm from the center, vertically, and horizontally. The diameter of the macular contour was also measured on vertical and horizontal scans. Results On biomicroscopy only 8 eyes (32%) were diagnosed as having macular hole, while in the remaining 17 eyes (68%) diagnosis of macular hole was possible only performing an OCT examination. Conclusion Optical coherence tomography is very useful in the diagnosis of macular holes compared with classic biomicroscopical analysis.

Optical coherence tomography and biomicroscopical analysis in macular holes