International Ophthalmology

, Volume 39, Issue 11, pp 2595–2601 | Cite as

Choroidal thickness in macular holes

  • Sabahattin SulEmail author
  • Gökhan Gurelik
  • Şafak Korkmaz
  • Cemal Ozsaygili
Original Paper



To determine the association between choroidal thickness (CT) and anatomic success in closed and open macular holes (MHs) following surgery.


One hundred and thirty-six eyes of 136 patients who underwent surgery due to primary MH were included in this study. Choroidal thickness was measured from various points (subfoveal, temporal, nasal, superior and inferior 1500 µm from the center of the fovea) in both eyes with MH and fellow eyes. We determined associations among the duration of symptoms, MH dimensions and CTs from various points with anatomic success and correlations between CT and MH dimensions and duration of symptoms.


Choroidal thickness was significantly lower in eyes with MH than fellow eyes in both open and closed MHs. Base diameter [p = 0.025, odds ratio (OR) = 0.428], minimum hole diameter (p = 0.030, OR = 0.211) and duration of symptoms [p = 0.034, OR = 0.443] were significantly associated with anatomic success. However, CTs from various points were not associated with anatomic success despite a significant preoperative subfoveal CT difference between open and closed MHs (198 ± 21 µm in open MHs and 230 ± 30 µm in closed MHs; p < 0.001). Preoperative subfoveal CT was moderately correlated with base diameter (r = − 0.505, p < 0.001), minimum hole diameter (r = − 0.518, p < 0.001) and duration of symptoms (r = − 0.510, p < 0.001).


Failed MHs were associated with larger hole dimensions (base diameter and minimum hole diameter) and longer duration of symptoms. Preoperative subfoveal CT was thinner in open MHs, but there was no association with anatomic success. Choroidal thinning may be linked to larger and chronic MHs.


Macular hole Choroidal thickness Anatomic success Macular hole dimensions 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyMuğla Sıtkı Koçman UniversityMuğlaTurkey
  2. 2.Department of OphthalmologyGazi University Medical SchoolAnkaraTurkey
  3. 3.Department of OphthalmologyDüzce State HospitalDüzceTurkey
  4. 4.Department of OphthalmologyKayseri Training and Research HospitalKayseriTurkey

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