Formation and evolution of idiopathic lamellar macular hole-a pilot study

Lee, Cheng-Yung; Hsia, Yun; Yang, Chung-May

doi:10.1186/s12886-022-02669-4

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…Similar cases had also been documented by Pang et al [3]. More importantly, these observations were in line with a recent longitudinal study reported by Lee et al [27] which illustrated variable tractional pathways in the development of idiopathic LMHs and showed that some of the cases evolved into degenerative configuration in the later stage. This sequential change of LMH help elucidate the possible pathogenesis of LMH with and without LHEP, that is, LMH initially developed as a result of epiretinal traction with OCT showing tractional morphologies, and when the retinal defect became deeper and wider (i.e., when Muller cells were involved), LHEP occurred, as a reaction of Muller cell to the retinal tissue loss, with corresponding OCT morphological changes (Fig.…”

Section: Discussionsupporting

confidence: 91%

Multimodel Imaging Evidence of Traction Component in Lamellar Macular Hole with Epiretinal Proliferation

Su¹,

Yang²,

Lai³

2023

Ophthalmic Res

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Introduction: To investigate the association of epiretinal traction in idiopathic lamellar macular hole (LMH) with or without lamellar hole-associated epiretinal proliferation (LHEP). Methods: A retrospective consecutive case series included 109 eyes diagnosed with LMH in a single tertiary referral center. Epiretinal traction was determined by the presence of epiretinal membrane (ERM), attached posterior hyaloid, or vascular traction with multimodal imaging studies and intraoperative findings in those received surgical interventions. Results: The 53 LMHs with LHEP had similar age, refraction, initial and final visual acuity to the 56 LMHs without LHEP. Both groups exhibited high incidences of vascular traction (with and without LHEP: 92% and 84%, p = 0.36, respectively) and ERM and/or attached posterior hyaloid (both 100%, p = 1.00). The vision improved 10.5 and 14 EDTRS letters (p = 0.60) in the 30 eyes with and 19 eyes without LHEP that underwent vitrectomy. Vascular tractions released postoperatively in 88% and 100% of LMHs with and without LHEP, respectively (p = 0.27). The LMH, ERM foveoschisis, and mixed subtypes exhibited epiretinal traction in 100% of cases in all subtypes (p = 1.00). Conclusion: Our findings indicated that epiretinal traction, evaluated by multimodal imaging, is the norm rather than the exception in LMHs showing LHEP. The presence of tractional forces should be taken into consideration when treatment was planned in LMHs.

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Section: Discussionsupporting

confidence: 91%

Multimodel Imaging Evidence of Traction Component in Lamellar Macular Hole with Epiretinal Proliferation

Su¹,

Yang²,

Lai³

2023

Ophthalmic Res

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“…Differential diagnosis should be made based on a pseudo hole that occurs without the true absence of retinal layers and a lamellar hole that occurs with a defect in the inner/outer fovea. [ 6 ]…”

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Retinal microvascular differences after successful macular hole surgery by using the superior and temporal inverted flap technique

Limon

2023

Indian Journal of Ophthalmology

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Purpose: To evaluate the retinal microvascular differences after successful macular hole surgery by using the superior and temporal inverted flap technique. Methods: In this retrospective study, patients with idiopathic macular holes with a horizontal diameter of 250–400 μm at the narrowest point, and who have a follow-up of 6 months were included in the study. Group 1 included 14 patients' 14 eyes that have been treated using the superior inverted flap technique. Group 2 included 15 patients' 15 eyes that have been treated using the temporal inverted flap technique. The vessel density (VD) ratios in the superficial capillary plexus (SCP) and the deep capillary plexus (DCP) at the central area and the four parafoveal quadrants were compared between the groups at baseline and postoperative month 6. Results: The mean baseline BCVA improved significantly in both groups at postoperative month 6 (1.21 to 0.50 and 1.32 to 0.52 logMAR, respectively; P < 0.05). There was no significant difference in mean BCVA between the two groups at postoperative month 6 (P < 0.05). The mean VD in SCP in the center area increased significantly in both groups at month 6 postoperatively (P = 0.011 and 0.020, respectively); however, the mean VD in DCP in the center area did not significantly change in both groups (P = 0.079 and 0.078, respectively). The mean VD ratios in SCP and DCP at the four parafoveal quadrants did not change significantly in both groups at month 6 (P < 0.05 for both). Conclusions: Both techniques are safe for retinal microvasculature at postoperative month 6.

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“…Following publication of the original article [ 1 ], the author group reported errors in the reference citation.…”

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confidence: 99%

Correction: Formation and evolution of idiopathic lamellar macular hole-a pilot study

2022

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Formation and evolution of idiopathic lamellar macular hole-a pilot study

Cited by 5 publications

References 34 publications

Multimodel Imaging Evidence of Traction Component in Lamellar Macular Hole with Epiretinal Proliferation

Multimodel Imaging Evidence of Traction Component in Lamellar Macular Hole with Epiretinal Proliferation

Retinal microvascular differences after successful macular hole surgery by using the superior and temporal inverted flap technique

Correction: Formation and evolution of idiopathic lamellar macular hole-a pilot study

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