Macular holes: classification, epidemiology, natural history and treatment

Cour, Morten la; Friis, J

doi:10.1034/j.1600-0420.2002.800605.x

Cited by 139 publications

(130 citation statements)

References 97 publications

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“…According to the classification of macular holes, the posterior hyaloid is attached in stages 1-3 and is detached in stage 4 [20,21]. Usually, the posterior hyaloids is also detached in idiopathic ERMs [43,44].…”

Section: Discussionmentioning

confidence: 99%

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Comparison of macular function and visual fields after membrane blue or infracyanine green staining in vitreoretinal surgery

Schmid-Kubista

Lamar

Schenk

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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Section: Discussionmentioning

confidence: 99%

“…The study setting was at our clinic, where both males and females, over 50 years of age, with visual deterioration related to full-thickness macular hole (Stages 2-4) [1,20,21] or macular pucker were included. Exclusion criteria were any other retinal disorders, glaucoma, optic atrophy, and visual field defects.…”

Section: Methodsmentioning

confidence: 99%

Comparison of macular function and visual fields after membrane blue or infracyanine green staining in vitreoretinal surgery

Schmid-Kubista

Lamar

Schenk

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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“…23 Moreover, Haouchine et al 5 reported that the initial structural feature was an intrafoveolar spilt occupying the inner retinal layers. This commonly accepted hypothesis of an inner cyst (stage 1-A MH) progressing to stage 1-B MH following an outer segment expansion [4][5][6][7][8][9][10][11] was questioned by Takahashi et al, 3,24 suggesting that the foveolar detachment of the COST line seen on SD-OCT might represent the yellow spot seen clinically in the very early stages of MH. In the present study 7 out of 10 patients who developed FTMH (in the initially normal fellow eye) demonstrated a clinically apparent yellow spot.…”

Section: Discussionmentioning

confidence: 99%

“…This may evolve into stage 1-B MH, whereby the posterior expansion of the pseudocyst creates a disruption of the outer retinal layer with an exposed retinal pigment epithelium and an intact roof. [4][5][6][7][8][9][10][11] This stage has been recently redefined as a vitreomacular traction that can be further subclassified by size of the adhesion into focal (r1500 mm) or broad (41500 mm). 12 Several questions remain unanswered with regards to the initial processes and morphological characteristics of the foveal microstructure in stage 1-A MH.…”

Section: Introductionmentioning

confidence: 99%

Focal vitreomacular traction: a prospective study of the evolution to macular hole: the mathematical approach

Theodossiadis

Petrou

Eleftheriadou

et al. 2014

Eye

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Purporse To determine the associated balance of forces of the vitreofoveal interface in focal vitreomacular traction evolving to full-thickness macular hole (FTMH) and to link/explain the observed changes in the context of mathematical and physics models. Patients and methods This is a multicenter, prospective, and observational case series conducted at the Vitreoretinal Department of three different referral centers. Fellow eyes of patients with unilateral idiopathic FTMH were included. Eighty-nine patients were included in the analysis. The fellow normal eye of the study patients was imaged with spectral-domain optical coherence tomography. The main outcome measure was the optical-coherence-tomography-defined characteristics of the vitreofoveal interface and their analysis with mathematical and physics models at the end of follow-up period. Results Of the included 89 patients (66 women and 23 men; mean age±SD, 68.5 years±9.8), 10 (11.2%) developed FTMH at the fellow eye at the end of the follow-up period. We observed two types of vitreofoveal attachment. A V-shaped (cordlike) configuration and a U-shaped configuration. The eyes with the V-shaped attachment demonstrated initial structural changes in the outer foveal layers and the eyes with the U-shaped attachment showed inner morphological changes. Conclusion We hypothesize that the type (V-or U-shaped) of the vitreofoveal attachment may affect the type and location of the initial structural change leading to the formation of FTMH from the stage of the focal vitreomacular traction.

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“…Common symptoms are metamorphopsia and blurring of vision, which was described as central scotoma in stage 4. However, in the initial stages, the patient may be asymptomatic (la Cour & Friis 2002).…”

Section: Case Reportmentioning

confidence: 99%

Spontaneous Closure of Large Base Idiopathic Full Thickness Macular Hole

Bastion¹

2018

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Spontaneous closure of idiopathic full thickness macular hole is a rare case as it occurs in only 3.5% while awaiting vitrectomy surgery. There are few pathologies associated with it such as vitreomacular traction (VMT) and posterior vitreous detachment. We report a case in a 74-year-old man who presented with right eye painless, progressive blurring of vision with idiopathic stage 4 full thickness macular hole which was confirmed on optical coherence tomography. It closed spontaneously after sometimes while waiting for surgery. It is important to monitor closely for the possibility of spontaneous closure based on the optical coherence tomography findings.

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Macular holes: classification, epidemiology, natural history and treatment

Abstract: ABSTRACT.

Cited by 139 publications

References 97 publications

Comparison of macular function and visual fields after membrane blue or infracyanine green staining in vitreoretinal surgery

Comparison of macular function and visual fields after membrane blue or infracyanine green staining in vitreoretinal surgery

Focal vitreomacular traction: a prospective study of the evolution to macular hole: the mathematical approach

Spontaneous Closure of Large Base Idiopathic Full Thickness Macular Hole

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