Tso-Ting Lai1, San-Ni Chen2,3,4, Chung-May Yang5,6. 1. Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. 2. Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan. 3. Department of Medicine, Chung-Shan Medical University, Taichung, Taiwan. 4. Department of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. 5. Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. chungmay@ntu.edu.tw. 6. College of Medicine, National Taiwan University, Taipei, Taiwan. chungmay@ntu.edu.tw.
Abstract
PURPOSE: To report the clinical findings and surgical outcomes of lamellar macular holes (LMH) with or without lamellar hole-associated epiretinal proliferation (LHEP), and those of full-thickness macular holes (FTMH) presenting with LHEP. METHODS: From 2009 to 2013, consecutive cases of surgically treated LMH, and all FTMH cases with LHEP were reviewed, given a follow-up time over 1 year. RESULTS: In the LMH group (43 cases), those with LHEP (19 cases) had significantly thinner bases and larger openings than those without (24 cases). The rate of disrupted IS/OS line was higher in the LHEP subgroup preoperatively (68.4 % vs 37.5 %), but similar between subgroups postoperatively (36.8 % and 33.3 %). The preoperative and postoperative visual acuity showed no significant difference between two subgroups. In the FTMH group (13 cases), the average hole size was 219.2 ± 92.1 μm. Permanent or transient spontaneous hole closure was noted in 69.2 % of cases. An intact IS-OS line was found in only 23 % of cases at the final follow-up. CONCLUSION: In the LMH group, LHEP was associated with a more severe defect but didn't affect surgical outcomes. In the FTMH group, spontaneous hole closure was frequently noted. Despite small holes, disruption of IS-OS line was common after hole closure.
PURPOSE: To report the clinical findings and surgical outcomes of lamellar macular holes (LMH) with or without lamellar hole-associated epiretinal proliferation (LHEP), and those of full-thickness macular holes (FTMH) presenting with LHEP. METHODS: From 2009 to 2013, consecutive cases of surgically treated LMH, and all FTMH cases with LHEP were reviewed, given a follow-up time over 1 year. RESULTS: In the LMH group (43 cases), those with LHEP (19 cases) had significantly thinner bases and larger openings than those without (24 cases). The rate of disrupted IS/OS line was higher in the LHEP subgroup preoperatively (68.4 % vs 37.5 %), but similar between subgroups postoperatively (36.8 % and 33.3 %). The preoperative and postoperative visual acuity showed no significant difference between two subgroups. In the FTMH group (13 cases), the average hole size was 219.2 ± 92.1 μm. Permanent or transient spontaneous hole closure was noted in 69.2 % of cases. An intact IS-OS line was found in only 23 % of cases at the final follow-up. CONCLUSION: In the LMH group, LHEP was associated with a more severe defect but didn't affect surgical outcomes. In the FTMH group, spontaneous hole closure was frequently noted. Despite small holes, disruption of IS-OS line was common after hole closure.
Authors: Jay S Duker; Peter K Kaiser; Susanne Binder; Marc D de Smet; Alain Gaudric; Elias Reichel; SriniVas R Sadda; Jerry Sebag; Richard F Spaide; Peter Stalmans Journal: Ophthalmology Date: 2013-09-17 Impact factor: 12.079
Authors: Andre J Witkin; Tony H Ko; James G Fujimoto; Joel S Schuman; Caroline R Baumal; Adam H Rogers; Elias Reichel; Jay S Duker Journal: Ophthalmology Date: 2006-03 Impact factor: 12.079
Authors: K Purtskhvanidze; L Balken; T Hamann; L Wöster; C von der Burchard; J Roider; Felix Treumer Journal: Graefes Arch Clin Exp Ophthalmol Date: 2018-04-06 Impact factor: 3.117
Authors: Esther Lee Kim; Adam J Weiner; Cindy Ung; Miin Roh; Jay Wang; Ivan J Lee; Natalie T Huang; Maxwell Stem; Mohammad Dahrouj; Dean Eliott; Demetrios G Vavvas; Lucy H Y Young; George A Williams; Bruce R Garretson; Ivana K Kim; Tarek S Hassan; Shizuo Mukai; Alan J Ruby; Lisa J Faia; Antonio Capone; Jason Comander; Leo A Kim; David M Wu; Kimberly A Drenser; Maria A Woodward; Jeremy D Wolfe; Yoshihiro Yonekawa Journal: Ophthalmol Retina Date: 2019-04-01