Vitrectomy for Treatment of Macular Hole in Diabetic Retinopathy

2007 ◽  
Vol 39 (4) ◽  
pp. 340-342 ◽  
Author(s):  
Hua Yan ◽  
Jing Cui ◽  
Yingjuan Lu ◽  
Jinguo Yu ◽  
Jingkai Zhang ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Macular Hole

scholarly journals Full-thickness Macular Hole Formation in Proliferative Diabetic Retinopathy

2021 ◽  
Author(s):  
MEI-CHI TSUI ◽  
Yi-Ting Hsieh ◽  
Tso-Ting Lai ◽  
Chun-Ting Lai ◽  
Hsuan-Chieh Lin ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Retinal Detachment ◽  
Macular Hole ◽  
Proliferative Diabetic Retinopathy ◽  
Full Thickness ◽  
Subsequent Formation ◽  
Full Thickness Macular Hole ◽  
Different Types ◽  
Before And After ◽  
Type 3

Abstract BackgroundTo investigate the formation pathways of full-thickness macular hole (FTMH) in proliferative diabetic retinopathy (PDR) with fibrovascular proliferation (FVP).MethodsTwenty-one consecutive patients (21 eyes) having PDR and FVP with optical coherence tomography (OCT) available before and after FTMH formation were retrospectively reviewed. Fundus abnormalities and OCT features were studied.ResultsFour different types of FTMH formation pathways in PDR were observed. Type 1 was characterized by epiretinal membrane (ERM) and/or vitreomacular traction (VMT) inducing foveoschisis, intraretinal cysts or foveal detachment, followed by formation of a FTMH or macular hole retinal detachment (MHRD). In type 2, ERM and/or FVP induced lamellar macular hole (LMH) with foveoschisis, followed by the formation of FTMH or MHRD. Type 3 was characterized by the initial tractional retinal detachment (TRD) with foveal cysts and/or foveoschisis and the subsequent formation of MHRD. Type 4 was characterized by TRD associated with foveal thinning, ensued by the formation of MHRD. Severity and locations of FVP varied with different types. Eyes with MHRD had poorer best-corrected visual acuity, higher proportion of active FVP, and higher rate of TRD.ConclusionFour types of FTMH formation pathways in PDR were identified and were quite different from those in idiopathic conditions. Spontaneous closure of FTMHs in PDR might be observed. The activity, severity and locations of FVP varied in PDR eyes destined to develop FTMHs.

Secondary macular hole formation with presumed evulsion of foveal hard exudates in a patient with diabetic retinopathy

2010 ◽  
Vol 54 (4) ◽  
pp. 366-368 ◽  
Author(s):  
Yohei Tomita ◽  
Kousuke Noda ◽  
Hajime Shinoda ◽  
Yoko Ozawa ◽  
Kazuo Tsubota ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Macular Hole ◽  
Hole Formation ◽  
Hard Exudates ◽  
Macular Hole Formation

Lamellar macular hole in diabetic retinopathy

2019 ◽  
pp. 112067211987966
Author(s):  
Bo-I Kuo ◽  
Chung-May Yang ◽  
Yi-Ting Hsieh
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Acuity ◽  
Diabetic Retinopathy ◽  
Macular Hole ◽  
Surgical Outcomes ◽  
Lamellar Macular Hole ◽  
Corrected Visual Acuity ◽  
Visual Improvement ◽  
Anatomical Outcomes ◽  
Best Corrected Visual Acuity

Purpose: To describe the clinical features and surgical outcomes of diabetic retinopathy–associated lamellar macular hole and compare them with those of idiopathic lamellar macular hole. Methods: A total of 17 eyes with diabetic retinopathy–associated lamellar macular hole and 30 eyes with idiopathic lamellar macular hole undergoing surgery were retrospectively enrolled. Baseline best-corrected visual acuity, preoperative optical coherence tomography characteristics, and final best-corrected visual acuity were compared between two groups. Results: Both the baseline and the final best-corrected visual acuity in the diabetic retinopathy group were significantly worse than those in the idiopathic group (p = 0.029 for baseline, p = 0.002 for final). Lamellar macular hole in diabetic retinopathy tended to have a wider opening (p < 0.001) and a thinner residual base (p = 0.023). The width and height of parafoveal schisis in diabetic retinopathy–associated lamellar macular hole were both larger than those in idiopathic lamellar macular hole (p < 0.001 for both). After operation, both groups achieved significant improvement in best-corrected visual acuity (p < 0.01 for both). Conclusion: Compared with idiopathic group, diabetic retinopathy–associated lamellar macular hole had worse baseline best-corrected visual acuity, wider defect, and more pronounced parafoveal schisis. However, significant visual improvement could be obtained after operation. All cases in both groups achieved good anatomical outcomes with normalization of foveal contour and reduction of parafoveal schisis.

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