Microperimetric Biofeedback Training Improved Visual Acuity after Successful Macular Hole SurgeryReport as inadecuate

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Journal of Ophthalmology - Volume 2015 2015, Article ID 572942, 7 pages -

Research ArticleDepartment of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan

Received 4 October 2015; Revised 26 November 2015; Accepted 30 November 2015

Academic Editor: Enzo M. Vingolo

Copyright © 2015 Tomoko Ueda-Consolvo 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 efficacy of setting a preferred retinal locus relocation target PRT and performing Macular Integrity Assessment MAIA biofeedback training in patients showing insufficient recovery of best corrected visual acuity BCVA despite successful closure of an idiopathic macular hole MH. Methods. Retrospective interventional case series. Nine eyes of 9 consecutive patients with the decimal BCVA of less than 0.6 at more than 3 months after successful MH surgery were included. A PRT was chosen based on MAIA microperimetry and the patients underwent MAIA biofeedback training. BCVA, reading speed, fixation stability, and 63% bivariate contour ellipse area BCEA were evaluated before and after the training. Statistical analysis was carried out using paired Student’s -test. Results. PRT was chosen on the nasal side of the closed MH fovea in 8 patients. After the MAIA training, BCVA improved in all patients. The mean logMAR value of BCVA significantly improved from 0.33 to 0.12 . Reading speed improved in all patients , fixation stability improved in 5 patients , and 63% BCEA improved in 7 patients , although these improvements were not statistically significant. Conclusion. MAIA biofeedback training improved visual acuity in patients with insufficient recovery of BCVA after successful MH surgery.

Author: Tomoko Ueda-Consolvo, Mitsuya Otsuka, Yumiko Hayashi, Masaaki Ishida, and Atsushi Hayashi

Source: https://www.hindawi.com/


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