Spontaneous closure of a macular hole after vitrectomy for an epiretinal membrane

2010 ◽  
Vol 54 (4) ◽  
pp. 368-370 ◽  
Author(s):  
Migiwa Ogawa ◽  
Masahito Ohji
Author(s):  
Rony C. Preti ◽  
Leandro C. Zacharias ◽  
Leonardo P. Cunha ◽  
Mario L. R. Monteiro ◽  
David Sarraf

Abstract Background To describe the spontaneous closure of a degenerative lamellar macular hole with epiretinal proliferation (LHEP) as documented with tracked spectral domain optical coherence tomography (SD-OCT). Case presentation A 54-years-old diabetic female patient presented with progressive vision loss in the left eye. SD-OCT illustrated LHEP associated with cystic fluid in the outer nuclear layer. Sequentially tracked SD-OCT showed progressive closure of the degenerative lamellar macular hole and resolution of the CME over almost 4 years, in the absence of any surgical intervention. Discussion/conclusion LHEP may represent a specialized form of degenerative epiretinal membrane associated with Muller cell activation. Spontaneous degenerative LMH closure may rarely occur with these lesion types, in the absence of surgical intervention, possibly due to Muller cell proliferation preceded by PVD.


2021 ◽  
Vol 71 (9) ◽  
Author(s):  
Rehman Siddiqui ◽  
Muhammad Umar Fawad ◽  
Nida Ahsan

Abstract Purpose: To report a case of spontaneous closure of full thickness macular hole (FTMH) in the presence of an epiretinal membrane (ERM) in a previously vitrectomized eye. Case: The patient underwent vitrectomy for rhegmatogenous retinal detachment and developed an epiretinal membrane 2 weeks after the surgery which laterconverted into a full thickness macular hole after 1 week.The aperture and base diameter of FTMH was recorded. Result: Eight months after vitrectomy, spontaneous closure of FTMH was observed with an improvement in best-corrected visual acuity (BCVA). These findings remained stable at 21 months of follow-up, with an additional increase in BCVA. Conclusion: Spontaneous closure of FTMH is possible even in the presence of an ERM. Follow up examination with optical coherence tomography(OCT) may be considered before surgery for FTMH, particularly if the surgery is scheduled after a few weeks. Key Words: FTMH, Epiretinal Membrane, Vitrectomy for RRD, Continuous...


2021 ◽  
pp. 481-484
Author(s):  
Masahisa Watanabe ◽  
Harumasa Yokota ◽  
Hiroshi Aso ◽  
Hirotsugu Hanazaki ◽  
Junya Hanaguri ◽  
...  

Herein, we report the longitudinal observation of a case with reopening of the macular hole associated with a lamellar macular hole-associated epiretinal proliferation (LHEP) followed by spontaneous closure in patients with stage 2 idiopathic macular hole. A 64-year-old woman was referred for the decreased visual acuity (VA) and acute anorthopia in the right eye. Funduscopy and optical coherence tomography (OCT) showed stage 2 full-thickness macular hole without posterior vitreous detachment (PVD) and operculum formation. Her best-corrected visual acuity (BCVA) was 20/32. One month later, the diameter of the macular hole was getting small and VA improved. Six months later, the macular hole was treated spontaneously with the attached hyaloid membrane to the macula by OCT and the BCVA improved to 20/20. Fourteen months after the first visit, the BCVA decreased to 20/50 and the patient was diagnosed with stage 4 macular hole with complete PVD. OCT showed full-thickness macular hole with a LHEP in the right eye. After 25G-gauge vitrectomy with the peeling of internal limiting membrane (ILM) and LHEP, the macular hole was closed and BCVA finally improved to 20/25. Spontaneous macular hole closure without PVD may rarely occur in patients with LHEP. The surgical removal of ILM and LHEP may contribute to the successful macular hole closure after vitrectomy.


2019 ◽  
Vol 13 ◽  
pp. 59-61 ◽  
Author(s):  
Jennifer Lee ◽  
Vincent Q. Nguyen ◽  
Mallika K. Doss ◽  
Andrew W. Eller

2015 ◽  
Vol 56 (2) ◽  
pp. 219 ◽  
Author(s):  
Hyo Cheol Lim ◽  
Kyung Ho Kim ◽  
Min Kyu Shin ◽  
Sung Who Park ◽  
Ik Soo Byon ◽  
...  

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hilal Nalcı ◽  
Figen Batıoğlu ◽  
Sibel Demirel ◽  
Emin Özmert

2021 ◽  
Author(s):  
Yongpeng Zhang ◽  
Jipeng Li ◽  
Xusheng Cao ◽  
Haiying Zhou ◽  
Liyun Jia ◽  
...  

Abstract Background We investigate the SD-OCT features of sub-inner limiting membrane (sub-ILM) hemorrhage after 577nm laser membranotomy. Methods The ocular fundus photography and SD-OCT of patients who received 577nm laser membranotomy for sub-ILM hemorrhage were assessed from January 2017 to March 2021 in this retrospective cases series study. Results Total of 7 patients (7 eyes) were enrolled in this study, in which 3 were female and 4 were male. The SD-OCT of ILM after laser treatment showed two distinctive features: the ILM falling back to retina (4 cases) or persistent unsealed ILM which forming premacular cavity (3 cases). The SD-OCT of macular fovea after laser treatment showed three features: normal contour (3 cases), macular hole (1 cases) and epiretinal membrane (1 case). The outer retina showed “peg-like” or “patchy-like” structure on the site of ILM attached to retina.Conclusions 577nm laser is effective in treating of sub-ILM hemorrhage and SD-OCT is effective for diagnosis and following-up of sub-ILM hemorrhage.


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