Abstract
We retrospectively studied 124 eyes with idiopathic preretinal macular fibrosis to assess the value of fluorescein angiography and vitreous examination for predicting the visual prognosis. During a mean follow-up period of 43 months (range, 12–14 months), the visual acuity of 33 eyes (27%) declined two or more lines from the initial value, although the appearance of the fibrosis remained unchanged in 114 cases (92%). At initial examination, 38 eyes (31%) showed fluorescein leakage into the macula; these eyes were more prone to further visual deterioration than were those without leakage (P< 0.05). Of 14 eyes with partial vitreous detachment and vitreous traction to the fibrosis, 6 (43%) had a final visual acuity of 20/200 or worse; this proportion was significantly higher than that found either in eyes with no detachment or in those with complete vitreous detachment (P< 0.05). The presence of fluorescein leakage and/or vitreous traction to the fibrosis may predict worse functional prognosis in eyes with idiopathic preretinal macular fibrosis.
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J. Akiba and A. Yoshida were on leave from the Department of Ophthalmology, Asahikawa Medical College, Japan
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Akiba, J., Yoshida, A. & Trempe, C.L. Prognostic factors in idiopathic preretinal macular fibrosis. Graefe's Arch Clin Exp Ophthalmol 229, 101–104 (1991). https://doi.org/10.1007/BF00170538
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DOI: https://doi.org/10.1007/BF00170538