Incidence and Risk Factors of Idiopathic Macular Hole

In this interview from ASRS 2017, Dr. Jay Stewart discusses findings from the largest study to date evaluating incidence and risk factors of idiopathic macular holes. The retrospective longitudinal study included claims data from 600,000 patients. Based on CPT codes, 144 (0.02%) developed new macular holes requiring vitrectomy. The overall incidence of macular hole was 41.4 cases per 100,000 person-years. The average age of patients requiring vitrectomy for macular hole was 62.5 years, and 72.9% were female. Asian-Americans were also at a higher risk, which may be due to the higher incidence of myopia in that population.

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