Arc flash macular hole

History Of ◽

Arc Flash

Macular holes are common. Lightening, direct electric shock induced and laser beam induced macular holes are though rare. Reporting a case of spark flashlight (Arc Flash) induced macular hole in an electrician, which has never been reported. A 19 year old male electrician by profession presented to our clinic with a history of exposure to a bright flash light from spark of wires while at work that led to decrease of vision in his both eyes. Examination revealed a full thickness macular hole in his right eye and loss of foveal photoreceptors in the left eye. Arc flash light exposure in electricians can lead to macular holes too adding a new entity to the already existing types of macular holes.

Characteristics and Risk Factors for Spontaneous Closure of Idiopathic Full-Thickness Macular Hole

Journal of Ophthalmology ◽

10.1155/2019/4793764 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

Xida Liang ◽

Wu Liu

Keyword(s):

Risk Factors ◽

Macular Hole ◽

Case Reports ◽

Primary Treatment ◽

Small Sample ◽

Spontaneous Closure ◽

Full Thickness ◽

Macular Holes ◽

Pubmed Database ◽

Idiopathic full-thickness macular hole is a severe visual impairment disease. Pars plana vitrectomy remains the primary treatment option for idiopathic full-thickness macular holes, and over 90% idiopathic full-thickness macular holes are closed by vitrectomy surgery. However, the full-thickness macular hole may close spontaneously, with a good visual acuity progress. Since recent studies are small-sample studies and case reports, the characteristics for spontaneous closure of idiopathic full-thickness macular holes are not fully understood. Here, we review the articles in PubMed database from 1999 to 2018 and discuss the characteristic and the risk factors, especially OCT structure features, for spontaneous closure of idiopathic full-thickness macular holes.

Lamellar macular holes: evolving concepts and propensity for progression to full thickness macular hole

International Journal of Retina and Vitreous ◽

10.1186/s40942-020-00252-x ◽

2020 ◽

Vol 6 (1) ◽

Cited By ~ 1

Author(s):

Salim Zafar Asaad

Keyword(s):

Macular Hole ◽

Clinical Course ◽

Morphological Changes ◽

Wide Spectrum ◽

Tissue Loss ◽

Lamellar Macular Hole ◽

Full Thickness ◽

Macular Holes ◽

Tractional Forces

Abstract Currently the term lamellar macular hole (LMH) alludes to a wide spectrum of macular conditions including distinct clinical entities with different pathomorphologies. Classifications into subtypes, tractional and degenerative or based on the associated preretinal tissue had been proposed. Recent insights suggest that only lesions with tissue loss should be considered ‘true’ LMH and not those morphological changes caused by tractional forces. Inclusion of lesions with foveoschisis with contractile epiretinal membrane (ERM) in earlier studies on LMHs has resulted in imprecise information about its clinical course. This review provides an overview of the evolving concepts of LMHs and analyses its natural history from study cases in previously published literature.

Vitrectomy with the inverted internal limiting membrane flap technique in eyes with full-thickness macular hole and dry age-related macular degeneration

European Journal of Ophthalmology ◽

10.1177/1120672120921376 ◽

2020 ◽

pp. 112067212092137

Author(s):

Zofia Michalewska ◽

Jerzy Nawrocki

Keyword(s):

Visual Acuity ◽

Macular Degeneration ◽

Macular Hole ◽

Internal Limiting Membrane ◽

Age Related Macular Degeneration ◽

Full Thickness ◽

Flap Technique ◽

Age Related ◽

Macular Holes ◽

Purpose To present effects of the inverted internal limiting membrane flap technique in full-thickness macular holes coexisting with dry age-related macular degeneration. Methods Our database was retrospectively reviewed in order to spot patients with the simultaneous diagnosis of dry age-related macular degeneration and full-thickness macular hole. Vitrectomy with the inverted internal limiting membrane flap technique was performed. Inclusion criteria were full-thickness macular hole, drusen, vitrectomy performed, and spectral domain optical coherence tomography (Copernicus HR, Optopol, Poland) or swept source optical coherence tomography (Triton, Topcon, Japan) before surgery, then 1 week (±3 days), 1 month (±1 week), 3 months (±1 month), 6 months (±1 month), 12 months (±2 months), and 18 months to 12 years after surgery. Main outcome measures Closure of macular hole and visual acuity at the final control. Results A total of 18 eyes of 12 patients (mean age: 68 years) were included. Mean minimum macular hole diameter was 493 μm. Mean maximum macular hole diameter was 1072 μm. Macular hole was closed in 16 eyes after first surgery and in all eyes after second surgery. Improvement of visual acuity was statistically significant ( P = 0.05), but there was no statistical significant correlation observed between initial macular hole diameters and final visual acuity ( P > 0.1). Conclusion The inverted internal limiting membrane flap technique improves anatomical and functional results in eyes with coexisting dry age-related macular degeneration and full-thickness macular holes. Final development of choroidal neovascularization or geographic atrophy is possible in rare cases.

Gliotic tissue simulating a macular neovascularization in full-thickness macular hole

European Journal of Ophthalmology ◽

10.1177/11206721211029501 ◽

2021 ◽

pp. 112067212110295

Author(s):

Chiara Vigano’ ◽

Enrico Borrelli ◽

Riccardo Sacconi ◽

Maria Brambati ◽

Francesco Bandello ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Retinal Pigment Epithelium ◽

Macular Hole ◽

Male Patient ◽

Vascular Tissue ◽

Pigment Epithelium ◽

Retinal Pigment ◽

Full Thickness ◽

Macular Holes ◽

The authors report a case of a male patient affected by macular hole. In particular, a hyperreflective tissue was found on optical coherence tomography (OCT) examination in macular region, just above the retinal pigment epithelium (RPE). OCT angiography (OCTA) did not show the presence of vascular tissue, thus the hyperreflective material was ascribed to primary gliotic tissue. This case highlights the ability for Müller cells placed near macular holes to migrate up to the RPE and to produce gliotic tissue.

Progression of lamellar macular holes into full-thickness macular hole

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2019-4-42-44 ◽

2019 ◽

pp. 42-44

Author(s):

O. Vedernikova ◽

◽

P.M. Shahabutdinova ◽

D.O Shkvorchenko ◽

◽

...

Keyword(s):

Macular Hole ◽

Full Thickness ◽

Macular Holes ◽

Successful Treatment of Full-Thickness Macular Hole in Polypoidal Choroidal Vasculopathy With Anti-VEGF Therapy

Journal of VitreoRetinal Diseases ◽

10.1177/2474126420909706 ◽

2020 ◽

Vol 4 (5) ◽

pp. 433-436

Author(s):

Aaron Lindeke-Myers ◽

Gregg T. Kokame ◽

Steven Yeh ◽

Jessica Shantha

Keyword(s):

Macular Hole ◽

Polypoidal Choroidal Vasculopathy ◽

Surgical Intervention ◽

Intravitreal Bevacizumab ◽

Pharmacologic Therapy ◽

Full Thickness ◽

History Of ◽

Macular Hole Formation ◽

Choroidal Vasculopathy

Purpose: This report discusses the case of an 86-year-old man with a full-thickness macular hole (FTMH) secondary to polypoidal choroidal vasculopathy (PCV) treated with bevacizumab. Methods: A case report is presented. Results: An 86-year-old man presented with a 5-month history of metamorphopsia and decreased vision in his right eye and was found to have active exudation secondary to PCV with a concurrent FTMH. After 4 treatments with intravitreal bevacizumab, the FTMH resolved without surgical intervention. Conclusions: The patient’s FTMH resolved with solely pharmacologic treatment as a result of treating his PCV with intravitreal bevacizumab. Macular hole formation secondary to PCV is a rare finding, but may be successfully treated with pharmacologic therapy without surgical intervention.

Macular profile of eyes developing macular holes in cases of central retinal vein occlusion treated with Bevacizumab

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v9i1.33516 ◽

2020 ◽

Vol 9 (1) ◽

pp. 13-19

Author(s):

Anadi Khatri ◽

Pratap Karki ◽

Sagun Narayan Joshi ◽

Bal Kumar Khatri ◽

Muna Kharel ◽

...

Keyword(s):

Macular Edema ◽

Macular Hole ◽

Retinal Vein Occlusion ◽

Central Retinal Vein Occlusion ◽

Vascular Endothelial ◽

Full Thickness ◽

Vein Occlusion ◽

Macular Holes ◽

Central Retinal Vein

Background: Anti-vascular endothelial growth factors are commonly used for treatment for central retinal vein occlusion. There have been numerous reports regarding both the benefits and disadvantages of its use. Recently, a rather surprising complication- development of macular holes have started emerging. Objectives: The purpose of this study was to evaluate if the patient's profile, baseline optical coherence tomography parameters, status of the vitreous and subsequent response pose a risk for macular hole formation in cases of central retinal vein occlusion central retinal vein occlusion following treatment with bevacizumab. Methodology: This prospective exploratory analytical study was conducted at a tertiary eye care center of Nepal and evaluated 97 eyes with central retinal vein occlusion undergoing treatment with bevacizumab. Results: Full Thickness Macular Hole developed in eight (8.24%) of the central retinal vein occlusion eyes treated with bevacizumab. Elderly age and eyes with cystoid edema at baseline were found to have greater risk of developing macular hole following treatment (OR: 8.97 , p<0.05). Twelve eyes (12.3%) of the eyes treated developed vitreoretinal interface anomalies and were the result of dramatic decrease in central macular thickness . All of them had cystoid macular edema at baseline. Five of them (42%) developed full thickness macular hole. Conclusion: Anti-vascular endothelial growth factor agents have been widely accepted as the first line of choice for treatment of macular edema secondary to central retinal vein occlusion. Cystoid macular edema, eyes of the elderly and those showing dramatic decrease in central macular thickness with the development of anomalous vitreoretinal interface are potential risk factors for full thickness macular hole.

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

Case Reports in Ophthalmology ◽

10.1159/000444657 ◽

2016 ◽

Vol 7 (1) ◽

pp. 163-166 ◽

Cited By ~ 1

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 ◽

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.

Diagnosis and management of a full thickness macular hole

Canadian Journal of Optometry ◽

10.15353/cjo.74.557 ◽

2012 ◽

Vol 74 (3) ◽

pp. 21

Author(s):

Nicolas Fontaine ◽

Sébastien Olivier

Keyword(s):

Macular Hole ◽

Clinical Signs ◽

Classical Case ◽

Visual Recovery ◽

Full Thickness ◽

Current State ◽

Medical Imagery ◽

Macular Holes ◽

One Year

Background: First stage macular holes are not always easily identified without the use of medical imagery. Differential diagnosis from other macular conditions is possible with a keen eye and the use of a binocular fundus lens. However, the advent of optical coherence tomography facilitates accurate diagnosis. Case Report: This report demonstrates a classical case of a full thickness macular hole. The clinical signs are not pathognomonic at first, but typical signs develop in the following weeks. The different stages of the disease are described, as well as current state of surgical treatment and possible outcomes. Conclusions: Early diagnosis allows quick visual recovery. Nevertheless, this condition can be treated up to one year after occurrence with significant improvement of visual function.

Large, Spontaneous Macular Hole with Posterior Pole Detachment in a Patient with Best Vitelliform Macular Dystrophy

Case Reports in Ophthalmology ◽

10.1159/000501845 ◽

2019 ◽

Vol 10 (2) ◽

pp. 221-226

Author(s):

Shamfa Peart ◽

Amoy Ramsay ◽

Qazi Assad Khan ◽

Tony Leong ◽

Patel Gordon-Bennett

Keyword(s):

Macular Hole ◽

Silicone Oil ◽

Internal Limiting Membrane ◽

Posterior Pole ◽

Macular Dystrophy ◽

Full Thickness ◽

Vitelliform Macular Dystrophy ◽

Best Vitelliform Macular Dystrophy ◽

History Of

Purpose: To describe the visual and anatomical outcomes in a patient with a full-thickness macular hole and Best vitelliform macular dystrophy. Methods: The authors present a case of a large spontaneous macular hole with associated posterior pole detachment in a patient with a history of Best vitelliform macular dystrophy including clinical course and surgical outcome. Patient: The patient presented with a history of blurred central vision. He was known to have Best vitelliform macular dystrophy. Examination revealed BCVA 6/36 (0.78 logMAR) and a full-thickness macular hole (1,102 µm) with a shallow posterior pole detachment extending to the vascular arcades. He underwent phacovitrectomy with silicone oil tamponade. Internal limiting membrane (ILM) peel was prohibited due to a very adherent posterior hyaloid membrane (PHM). Results: The patient developed type 2 closure. He had oil removal in 14 months combined with PHM and ILM peel. Two months postoperatively, he had further reduction of the foveal defect and the retina remained flat. Final BCVA was 6/24 (0.60 logMAR). Conclusion: Macular holes with Best disease are rare and are thought to be due to rupture of a cyst in the vitelliform stage or atrophy in later stages. This case outlines that closure of the macular hole, flattening of the detachment, and improvement in visual acuity is possible with vitrectomy and ILM peeling.