Tractional Elevation of Henle's Fiber Layer in Idiopathic Macular Holes

Kishi, Shoji; Kamei, Yo; Shimizu, Koïchi

doi:10.1016/s0002-9394(14)72663-7

Cited by 67 publications

(42 citation statements)

References 11 publications

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“…[2][3][4][5][6] Although the mechanism causing the MH has been essentially determined, [7][8][9][10][11][12] the mechanism for the MH closure has not been definitively determined.…”

Section: Introductionmentioning

confidence: 99%

Displacement of foveal area toward optic disc after macular hole surgery with internal limiting membrane peeling

Kawano

Ito

Kondo

et al. 2013

Eye

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Purpose To determine whether there is a displacement of the fovea toward the optic disc after successful macular hole (MH) surgery with internal limiting membrane (ILM) peeling. Methods The medical records of 54 eyes of 53 patients that had undergone pars plana vitrectomy with ILM peeling and gas or air tamponade for an idiopathic MH were evaluated. Spectral-domain optical coherence tomography (OCT) had been performed before and 46 months after the surgery. The preoperative distances between the center of the MH and the optic disc (MH-OD), center of the MH and the bifurcation or crossing of retinal vessels (MH-RV) were measured in the OCT images. In addition, the postoperative distance between the center of the fovea and optic disc (F-OD) and the center of the fovea and the same bifurcation or crossing of retinal vessels (F-RV) were measured in the OCT images. Results The F-OD was 2.67 ± 0.33 disc diameters (DD), which was significantly shorter than that of the MH-OD of 2.77 ± 0.33 DD (Po0.001). The F-RV was also significantly shorter than the MH-RV on the inner nasal area (from 0.85 ± 0.16DD to 0.79 ± 0.15DD; Po0.001), the inner temporal area (from 0.82±0.15DD to 0.77±0.14DD; Po0.001), and outer nasal area (from 1.70 ± 0.31DD to 1.65 ± 0.32DD; Po0.001), but it was significantly longer than the MH-RV in the outer temporal area (from 1.65±0.29DD to 1.68±0.29DD; Po0.001).Conclusion Our results showed that successful closure of a MH by vitrectomy with ILM peeling and gas tamponade leads to a displacement of the center of the macula toward the optic disc.

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“…[2][3][4][5][6] Although the mechanism causing the MH has been essentially determined, [7][8][9][10][11][12] the mechanism for the MH closure has not been definitively determined.…”

Section: Introductionmentioning

confidence: 99%

Displacement of foveal area toward optic disc after macular hole surgery with internal limiting membrane peeling

Kawano

Ito

Kondo

et al. 2013

Eye

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“…18,19 Furthermore, the other aspect of the exact underlying mechanism during the early stages of MH development is the type of the initial structural change that is caused by the balance of forces. Several reports [19][20][21][22][23] based on OCT findings have described cystic changes or splits in the inner retinal layer as the first stage of MH formation. Hee et al 21 presented a foveal cyst or a retinal split resulting from vitreomacular traction in the fellow eye of FTMH.…”

Section: Discussionmentioning

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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“…Therefore, the images obtained with the confocal aperture are high-contrast images [1,5]. Using this aperture with the long-wavelength laser (633 nm helium-neon laser), Kishi et al [8] speculated that the radiating striae seen around the macular hole were caused by traction from the premacular vitreous cortex and originated from the intraretinal structure; they represented elevated Henle's fibers, not retinal surface wrinkling.…”

Section: Discussionmentioning

confidence: 99%

“…To characterize the morphologic features of idiopathic macular holes more precisely, Kishi et al [8] employed scanning laser ophthalmoscopy (SLO) to examine eyes with macular holes, using argon and helium-neon lasers, and found fine radiating striae around the macular holes. Based on this finding, they hypothesized about the development of macular holes.…”

Section: Introductionmentioning

confidence: 99%

Radiating retinal folds detected by scanning laser ophthalmoscopy using a diode laser in a dark-field mode in idiopathic macular holes

Yoshida

Ishiko²,

Akiba³

et al. 1998

Graefe's Archive for Clinical and Experimental Ophthalmology

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Tractional Elevation of Henle's Fiber Layer in Idiopathic Macular Holes

Cited by 67 publications

References 11 publications

Displacement of foveal area toward optic disc after macular hole surgery with internal limiting membrane peeling

Displacement of foveal area toward optic disc after macular hole surgery with internal limiting membrane peeling

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

Radiating retinal folds detected by scanning laser ophthalmoscopy using a diode laser in a dark-field mode in idiopathic macular holes

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