Macular holes following vitrectomy for rhegmatogenous retinal detachment: epiretinal proliferation and spontaneous closure of macular holes

Uemura, Akinori; Arimura, Noboru; Yamakiri, Keita; Fujiwara, Kazuki; Furue, Eri; Sakamoto, Taiji

doi:10.1007/s00417-021-05183-3

Cited by 4 publications

(6 citation statements)

References 29 publications

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“…We compared and analyzed the micromorphologic characteristics reported to promote spontaneous closure of FTMHs in previous studies, which included VMT, CME, and ERM. [6][7][8][9][10] In the spontaneous closure group, nine eyes (47.4%) had foveal VMT at baseline, among which VMT of seven eyes (77.8%) separated spontaneously and the FTMHs then closed, whereas VMT of the other two eyes remained after spontaneous closure of the FTMHs. VMT was observed in five eyes (13.5%) from the control group; the incidence of VMT in the spontaneous closure group was The morphologic appearance of the SHM could be classified into three types including dotted, linear, and lumpy (Figure 2).…”

Section: Parameters and Characteristics Of Optical Coherence Tomograp...mentioning

confidence: 99%

“…2,3 However, it has been reported that some FTMHs can spontaneously close without any interventions. [4][5][6] Therefore, identifying the predictors of spontaneous closure may help to avoid unnecessary surgery.…”

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confidence: 99%

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confidence: 99%

“…Despite a number of FTMH cases with spontaneous resolution, [4][5][6] the mechanism and potential predictor of spontaneous closure remains unclear. Possible hypotheses include release of vitreomacular traction (VMT), 7,8 shrinkage of the epiretinal membrane (ERM) or retinal pigment epithelium, 6,9 resolution of cystoid macular edema (CME), 10 and proliferation of glial cells. [11][12][13][14] Recent technological improvements in optical coherence tomography (OCT) have yielded higher resolution images and enabled more precise visualization of the microarchitecture of the vitreoretinal interface, 15 which can facilitate the studies on pathologic features that were not previously visible.…”

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confidence: 99%

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Correlations Between Suspended Hyperreflective Material With the Macular Microstructure and Spontaneous Closure of Full-Thickness Macular Holes

Yang,

Huang,

Peng

et al. 2023

Retina

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Purpose: To investigate the characteristics of spontaneously closed full-thickness macular holes (FTMHs) and to seek potential predictors for the spontaneous closure of FTMHs. Methods: In this retrospective cohort study, the clinical data and optical coherence tomography (OCT) images were reviewed from 19 eyes with spontaneously closed FTMHs (spontaneous closure group) and 37 control eyes with FTMHs that were delayed for non-medical reasons but ultimately requiring surgery (control group). The term, suspended hyperreflective material (SHM), was defined as hyperreflective material suspended within the FTMHs observed via OCT; the presence of SHM was evaluated in these eyes. Results: The median time from diagnosis to spontaneous closure of the FTMHs was 13.7 (range, 2.4-32.4) weeks in the spontaneous closure group. The mean diameter of FTMHs in the spontaneous closure group was significantly smaller than that in the control group (191.68±70.57 μm vs 401.68±162.19 μm, P<0.0001). The incidence of vitreomacular traction (VMT) was higher in the spontaneous closure group compared to the control group (9/19 vs 5/37, P=0.009, OR [95% CI], 5.76 [1.56–21.21]); in 7 of the 9 eyes with VMT from the spontaneous closure group, spontaneous VMT separation and subsequent FTMH closure was observed. SHM was observed in 9 eyes (47%) from the spontaneous closure group and 3 eyes (8%) from the control group (P=0.001, OR [95% CI], 10.20[2.31‒45.02]). Conclusions: Smaller diameters, VMT, and presence of SHM might be suggestive of the potential for spontaneous closure of FTMHs.

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Section: Parameters and Characteristics Of Optical Coherence Tomograp...mentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Correlations Between Suspended Hyperreflective Material With the Macular Microstructure and Spontaneous Closure of Full-Thickness Macular Holes

Yang,

Huang,

Peng

et al. 2023

Retina

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“…Although some authors have performed OCT studies specifically focused on the postoperative period in order to study surgical complications, such as macular hole formation, these findings will be only briefly touched on the present review [ 9 , 10 ].…”

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confidence: 99%

Optical Coherence Tomography Findings in Rhegmatogenous Retinal Detachment: A Systematic Review

Danese

Lanzetta

2022

JCM

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Rhegmatogenous retinal detachment is a sight-threatening condition that may lead to blindness if left untreated. Surgical treatments may vary and are tailored to a single patient. Anatomical and functional results may vary, due to factors that are currently under study. Optical coherence tomography (OCT) allows a detailed visualization of the retinal structure. Some studies have been performed using OCT on eyes with retinal detachment. We performed a review on the subject. Several data have been obtained using different OCT applications. Some alterations may represent potential biomarkers since they are associated with visual and anatomical prognoses. Increased knowledge on the subject may be helpful to choose among different surgical strategies and endotamponades. More research on the topic is needed.

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Full-thickness macular holes after surgical repair of primary rhegmatogenous retinal detachments: incidence, clinical characteristics, and outcomes

Starr

Lee

Arias

et al. 2021

Graefes Arch Clin Exp Ophthalmol

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Macular holes following vitrectomy for rhegmatogenous retinal detachment: epiretinal proliferation and spontaneous closure of macular holes

Cited by 4 publications

References 29 publications

Correlations Between Suspended Hyperreflective Material With the Macular Microstructure and Spontaneous Closure of Full-Thickness Macular Holes

Correlations Between Suspended Hyperreflective Material With the Macular Microstructure and Spontaneous Closure of Full-Thickness Macular Holes

Optical Coherence Tomography Findings in Rhegmatogenous Retinal Detachment: A Systematic Review

Full-thickness macular holes after surgical repair of primary rhegmatogenous retinal detachments: incidence, clinical characteristics, and outcomes

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