European Journal of Cardiovascular Medicine

Background:  In this study, our objective is to investigate the predictive factors influencing the anatomical and functional success of macular hole surgery in the Kashmir population. By analyzing a cohort of patients who underwent macular hole surgery, we aim to explore the preoperative characteristics, surgical techniques employed, and postoperative outcomes that contribute to the success rates in this specific population. Methods: This retrospective observational study was conducted at the Department of Ophthalmology, GMC Srinagar over a period of one year. A total of 70 patients, ranging in age from 45 to 76 years, were included in the analysis. We reviewed their preoperative characteristics, surgical techniques utilized, and postoperative outcomes. Results: Our findings revealed a prominent age group between 51-60 years, comprising 44.3% of the sample, followed by individuals aged 61-70 years, accounting for 31.4% of the cohort. Notably, female patients exhibited a higher representation, constituting 61.4% of the total sample. The duration of symptoms varied widely, ranging from 1 to 15 months, with the majority of patients (67.1%) reporting symptom duration of 1-6 months. Anatomically, Type 1 closure predominated, with an overwhelming majority of cases at 85.7%. Significantly, despite the absence of notable age and gender differences between the Type 1 and Type 2 closures, substantial variations were observed in critical parameters such as hole height, hole form factor (HFF), macular hole index (MHI), tractional hole index (THI), and postoperative best-corrected visual acuity (BCVA) between the two closure types. Conclusion: Our study highlights the utmost importance of a comprehensive evaluation that takes into account age, gender, and anatomical characteristics when assessing macular hole patients. These findings provide crucial insights for refining treatment strategies and tailoring interventions to optimize surgical outcomes in this specific population.