Spontaneous Progression of a Long-Standing Lamellar Macular Hole into a Full-Thickness Macular Hole

2010 ◽  
Author(s):  
Leonardo C. Castro ◽  
Jay S. Duker
Keyword(s):  
Macular Hole ◽  
Lamellar Macular Hole ◽  
Full Thickness ◽  
Full Thickness Macular Hole

scholarly journals Development of Stage 4 Macular Hole after Spontaneous Closure in a Patient with Stage 2 Macular Hole and a Lamellar Macular Hole-Associated Epiretinal Proliferation

2021 ◽  
pp. 481-484
Author(s):  
Masahisa Watanabe ◽  
Harumasa Yokota ◽  
Hiroshi Aso ◽  
Hirotsugu Hanazaki ◽  
Junya Hanaguri ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Macular Hole ◽  
Spontaneous Closure ◽  
Surgical Removal ◽  
Lamellar Macular Hole ◽  
Full Thickness ◽  
Stage 4 ◽  
Full Thickness Macular Hole ◽  
The Right ◽  
Hole Closure

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.

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

2020 ◽  
Vol 6 (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 ◽  
Full Thickness Macular Hole ◽  
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.

scholarly journals Full-Thickness Macular Hole after Lamellar Macular Hole Surgery: A Case Report

2014 ◽  
Vol 25 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Marco Dutra Medeiros ◽  
Micol Alkabes ◽  
Paolo Nucci ◽  
João Branco
Keyword(s):  
Case Report ◽  
Macular Hole ◽  
Lamellar Macular Hole ◽  
Full Thickness ◽  
Macular Hole Surgery ◽  
Full Thickness Macular Hole

scholarly journals Full-Thickness Macular Hole Progressing from Lamellar Macular Hole with Epiretinal Proliferation

2021 ◽  
pp. 134-141
Author(s):  
Salim Zafar Asaad
Keyword(s):  
Visual Acuity ◽  
Macular Hole ◽  
Epiretinal Membrane ◽  
Lamellar Macular Hole ◽  
Full Thickness ◽  
Eye Surgery ◽  
Full Thickness Macular Hole ◽  
Eye Examination ◽  
The Right

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.

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