Modified Vitreous Surgery for Symptomatic Lamellar Macular Hole With Epiretinal Membrane Containing Macular Pigment

Retina ◽  
2013 ◽  
Vol 33 (6) ◽  
pp. 1263-1269 ◽  
Author(s):  
Fumio Shiraga ◽  
Ippei Takasu ◽  
Kouki Fukuda ◽  
Tomoyoshi Fujita ◽  
Ayana Yamashita ◽  
...  
2019 ◽  
Vol 242 (1) ◽  
pp. 49-58 ◽  
Author(s):  
Rino Frisina ◽  
Raffaele Parrozzani ◽  
Elisabetta Pilotto ◽  
Edoardo Midena

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.


2013 ◽  
Vol 251 (12) ◽  
pp. 2681-2688 ◽  
Author(s):  
Jen-Pin Sun ◽  
San-Ni Chen ◽  
Chih-Chun Chuang ◽  
Chao-Wen Lin ◽  
Chun-Ju Lin ◽  
...  

2018 ◽  
Vol 241 (1) ◽  
pp. 56-60 ◽  
Author(s):  
Josef Guber ◽  
Hendrik P.N. Scholl ◽  
Christophe Valmaggia

2021 ◽  
Vol 62 (1) ◽  
pp. 34
Author(s):  
Roberto dell'Omo ◽  
Mariaelena Filippelli ◽  
Serena De Turris ◽  
Luca Cimino ◽  
David H. Steel ◽  
...  

2021 ◽  
pp. 134-141
Author(s):  
Salim Zafar Asaad

Foveoschisis in association with contractile epiretinal membrane is frequently misdiagnosed as lamellar macular hole (LMH). The progression of true LMH with associated epiretinal proliferation to full-thickness macular hole (FTMH) is probably underestimated. We report a case of bilateral FTMH progressing from LMH with epiretinal proliferation. A 72-year-old male presented with increased blurring of vision in left eye. Visual acuity was 20/40 in right and 20/50 in left eye. Examination showed FTMH with epiretinal proliferation in left eye and LMH with epiretinal proliferation in right eye. Surgery of the left eye achieved successful closure of macular hole with improvement in vision. He presented again a month later with further deterioration of vision in right eye. Examination revealed FTMH in right eye with epiretinal proliferation. Surgery of the right eye also achieved optimum functional and morphological results. This case demonstrates that LMH with epiretinal proliferation may have a propensity to progress to FTMH.


2021 ◽  
Vol 5 (4) ◽  
pp. 373
Author(s):  
Etienne Boulanger ◽  
Elise Philippakis ◽  
Ismael Chehaibou

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.


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