Spontaneous Separation in Idiopathic Vitreomacular Traction Syndrome Associated with Contralateral Full-Thickness Macular Hole

2006 ◽  
Vol 16 (5) ◽  
pp. 733-740 ◽  
Author(s):  
A. Rodríguez ◽  
R. Infante ◽  
F.J. Rodríguez ◽  
M. Valencia
Keyword(s):  
Macular Hole ◽  
Vitreomacular Traction ◽  
Full Thickness ◽  
Vitreomacular Traction Syndrome ◽  
Full Thickness Macular Hole ◽  
Spontaneous Separation

scholarly journals Asymmetric vitreomacular traction and symmetrical full thickness macular hole formation

2014 ◽  
Vol 253 (11) ◽  
pp. 1851-1857
Author(s):  
Wai H. Woon ◽  
Denis Greig ◽  
Mike D. Savage ◽  
Mark C. T. Wilson ◽  
Colin A. Grant ◽  
...  
Keyword(s):  
Macular Hole ◽  
Vitreomacular Traction ◽  
Full Thickness ◽  
Hole Formation ◽  
Full Thickness Macular Hole ◽  
Macular Hole Formation

Elimination of vitreomacular traction syndrome in eyes, that were previously surgically treated due to retinal detachment

2021 ◽  
pp. 40-47
Author(s):  
G.K. Zhurgumbayeva ◽  
◽  
D.R. Kyrykbayev ◽  
F.M. Umarov ◽  
◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Silicone Oil ◽  
Retinal Thickness ◽  
Full Thickness ◽  
Hole Formation ◽  
Ilm Peeling ◽  
Surgical Interventions ◽  
Vitreomacular Traction Syndrome ◽  
Full Thickness Macular Hole

Aims. Evaluate the efficiency of ILM peeling in the treatment of VMTS on eyes previously treated for retinal detachment. Materials and methods. 4 participants diagnosed with VMTS were enrolled in this study. There were 2 male and 2 female patients aged 30-64 y.o. who were previously surgically treated for their retinal detachment. 3 patients had rhegmatogenous and 1 patient had traumatic tractional retinal detachment with the mean duration of 5.75 years. 3 eyes undergone scleral buckling following subretinal fluid drainage, 1 eye underwent cataract phacoemulsification with an implantation of IOL + closed vitrectomy + pneumatic retinopexy + endolaser retinal photocoagulation + silicone oil, insertion following silicone oil removal from the vitreous cavity. All patients had some degree of myopia as well as peripheral retinal degenerations. 2 patients were diagnosed with epiretinal fibrosis and 2 other with stage 2 small full-thickness macular hole. Mean BCVA before surgery was 0.078, mean central retinal thickness was 390,25 um, small full-thickness macular hole diameter was about 320 um. Before the surgery, all patients undergone cycloscopy, where there were no indications for the additional laser photocoagulation. 3 patients underwent posterior vitrectomy 25G and 1 patient had 25G ports placed on his eye with the peeling of ILM and usage of pneumatic retinopexy, 2 eyes underwent cataract phacoemulsification with IOL implantation. Results and discussion. All surgical interventions were done without any complications. Since there were conjunctival scars left after the previous surgeries, conjunctiva did not show any displacement during the sclerotomy procedures, which led to the formation of post-sclerotomy holes. This fact forced us to make knot sutures, which resulted in foreign body sensations in our patients during the post-op period. Intraoperatively, all patients had their ILM removed, which was proved by OCT in the post-op period. Mean BCVA after operations was 0.3. Mean Central retinal thickness was 314 um based on OCT data in the post-op period. Patients were recommended to undergo cycloscopy 1 month after the surgery and then twice every year. There were no retinal detachment relapse observed in the post-op period. Conclusion: 1. Removal of ILM in patients, that were previously operated due to retinal detachment, is considered as an effective method in the treatment of VMTS. It is clinically manifested as visual acuity improvement, retinal thickness reduction, lamellar hole closure and the absence of full thickness macular hole formation risk in the early and late post-op periods. No retinal detachment relapses were observed. 2. Presence of conjunctival scars following previous retinal detachment surgical interventions leads to the hole formation following sclerotomy procedures, which causes foreign body sensations in patients during the post-op period. 3. Endovitreal surgical intervention for the retinal detachment should include ILM peeling to prevent formation of VMTS in the post-op period. Key words: vitreomacular traction syndrome (VMTS), Internal limiting membrane (ILM), rhegmatogenous retinal detachment ( RRD), optic coherence tomography (OCT).

scholarly journals Foveal-Sparing ILM Peeling in a Case with Vitreomacular Traction and Foveal Detachment

2021 ◽  
pp. 182-185
Author(s):  
Christoph Leisser ◽  
Oliver Findl
Keyword(s):  
Visual Acuity ◽  
Macular Hole ◽  
Female Patient ◽  
Vitreomacular Traction ◽  
Full Thickness ◽  
Ilm Peeling ◽  
Foveal Detachment ◽  
Corrected Visual Acuity ◽  
Full Thickness Macular Hole ◽  
Foveal Sparing

A pseudophakic female patient, 80 years of age, presented with a vitreomacular traction and foveal detachment at her right eye. To avoid development of a full-thickness macular hole during surgery, foveal-sparing ILM peeling was performed. After surgery, distance-corrected visual acuity increased from 0.3 to 0.6 (Snellen) 3 months after surgery and fovea was re-attached again with restoration of the retinal layers.

scholarly journals Spontaneous Closure of a Full-Thickness Macular Hole Associated with Proliferative Diabetic Retinopathy and Persistent Vitreomacular Traction

2016 ◽  
Vol 7 (1) ◽  
pp. 163-166 ◽  
Author(s):  
Benjamin J. Reinherz ◽  
Jeffrey S. Rubin
Keyword(s):  
Diabetic Retinopathy ◽  
Macular Hole ◽  
Proliferative Diabetic Retinopathy ◽  
Spontaneous Closure ◽  
Vitreomacular Traction ◽  
Full Thickness ◽  
Macular Holes ◽  
Full Thickness Macular Hole ◽  
Idiopathic Macular Holes

Diabetic retinopathy worsens the prognosis of macular holes compared to those of idiopathic etiology. While spontaneous closure of idiopathic macular holes is a well-documented phenomenon, spontaneous closure of macular holes associated with proliferative diabetic retinopathy is rare. We report a case of spontaneous closure of a macular hole associated with proliferative diabetic retinopathy and persistent vitreomacular traction.

scholarly journals Changes in each retinal layer and ellipsoid zone recovery after full-thickness macular hole surgery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Min-Woo Lee ◽  
Tae-Yeon Kim ◽  
Yong-Yeon Song ◽  
Seung-Kook Baek ◽  
Young-Hoon Lee
Keyword(s):  
Macular Hole ◽  
Axial Length ◽  
Outer Nuclear Layer ◽  
Plexiform Layer ◽  
Retinal Layer ◽  
Inner Plexiform Layer ◽  
Full Thickness ◽  
Ellipsoid Zone ◽  
Full Thickness Macular Hole ◽  
Fellow Eyes

AbstractTo analyze the changes in each retinal layer and the recovery of the ellipsoid zone (EZ) after full-thickness macular hole (FTMH) surgery. Patients who underwent surgery for FTMH were included. Spectral-domain optical coherence tomography (SD-OCT) was performed preoperatively and postoperatively at 1, 3, 6, 9, and 12 months. A total of 32 eyes were enrolled. Ganglion cell layer, inner plexiform layer, and inner nuclear layer showed significant reductions over time after surgery (P = 0.020, P = 0.001, and P = 0.001, respectively), but were significantly thicker than those of fellow eyes at 12 months postoperatively. The average recovery duration of the external limiting membrane (ELM), outer nuclear layer (ONL), and EZ was 1.5, 2.1, and 6.1 months, respectively. Baseline best-corrected visual acuity (BCVA) (P = 0.003), minimum linear diameter (MLD) (P = 0.025), recovery of EZ (P = 0.008), and IRL thickness (P < 0.001) were significant factors associated with changes in the BCVA. Additionally, axial length (P < 0.001), MLD (P = 0.020), and IRL thickness (P = 0.001) showed significant results associated with EZ recovery. The IRL gradually became thinner after FTMH surgery but was still thicker than that of the fellow eye at 12 months postoperatively. The recovery of ELM and ONL may be a prerequisite for the EZ recovery. The BCVA change was affected by baseline BCVA, MLD, recovery of EZ, and IRL thickness. Additionally, axial length, MLD, and IRL thickness were significantly associated with EZ recovery.

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