Long-term follow-up of lamellar macular holes and pseudoholes over at least 5 years

Purtskhvanidze, Konstantine; Balken, L.; Hamann, Timothy; Wöster, L; Burchard, Claus von der; Roider, J; Treumer, Felix

doi:10.1007/s00417-018-3972-2

Cited by 31 publications

(29 citation statements)

References 28 publications

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“…The rationale of the peeling of the CERM is the removal of traction; however, the rationale of the peeling of the AERM is controversial and intriguing. Some authors described LMHs with AERM as a stable condition, others demonstrated a slow but progressive evolution [4-14]. Furthermore, it has been hypothesized that AERM may be associated to Müller cell damage, and its surgical removal may cause the final loss of an already weak scaffolding property of Müller cells.…”

Section: Introductionmentioning

confidence: 99%

A Double Inverted Flap Surgical Technique for the Treatment of Idiopathic Lamellar Macular Hole Associated with Atypical Epiretinal Membrane

et al. 2019

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Objectives: To propose a new technique of a double inverted epiretinal membrane (ERM) and internal limiting membrane (ILM) flap (double flap group) for the treatment of idiopathic lamellar macular hole (LMH) with atypical ERM (AERM) and to compare surgical outcomes to those of the standard technique of ERM and ILM peeling of the fovea including LMH (control group). Methods: AERM was tomographically defined as a medium reflective thickened membrane above the retinal fiber layers without retinal traction signs. A series of patients affected by LMH with AERM were recruited. Preoperative parameters were: intraretinal cysts (IRC), intraretinal splitting diameter, residual foveal thickness, and ellipsoid zone integrity. Postoperative findings were: full-thickness macular hole (FTMH) development, and persistence or new appearance of IRC. Best-corrected visual acuity (BCVA) at baseline, first, third, and sixth postoperative month was evaluated. Results: A total of 48 eyes of 48 patients were included in this study. In the double flap group (30 eyes), a clear improvement of BCVA was noted (p = 0.004), and there were no complications. In the control group (18 eyes), BCVA did not improve and 3 patients developed postoperative FTMH. Conclusions: The double inverted flap technique is associated with better functional recovery compared to the standard technique and reduces the risk of postoperative FTMH development.

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Section: Introductionmentioning

confidence: 99%

A Double Inverted Flap Surgical Technique for the Treatment of Idiopathic Lamellar Macular Hole Associated with Atypical Epiretinal Membrane

et al. 2019

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“…Taking this information into account, we have found that most authors recommend surgery when the patient complains of important metamorphopsia or there is a documented decrease in VA over time [16,27,36,38,52]. Other authors intervened with surgery whenever VA < 20/40 and there was evidence of ERM [41,42].…”

Section: Discussionmentioning

confidence: 99%

“…Most LMHs are morphologically stable over years of follow-up: 13% to 21% of cases show an enlargement of maximum LMH diameter and/or reduction in foveal thickness after 18-24 months [15,24]. After the longest published follow-up (8.3 years), 1/3 of cases presented morphological progression [27].…”

Section: Natural History (Observational Studies)mentioning

confidence: 97%

“…With one exception, the follow-up periods range between 18 and 40 months. e longest follow-up (111 months) was in a small series of 17 patients [27].…”

Section: Natural History (Observational Studies)mentioning

confidence: 99%

“…Mean best-corrected visual acuity (BCVA) tended to be stable over time [24,26,28] or slowly decreased by 1 log-MAR line after 8.3 years [27]. e percentage of eyes experiencing VA deterioration over 3 years was 27% (19.5% have lost 5-15 letters) [23].…”

Section: Natural History (Observational Studies)mentioning

confidence: 99%

See 2 more Smart Citations

The Management of Lamellar Macular Holes: A Review

Danielescu

Stanca

Baltă

2020

Journal of Ophthalmology

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is literature review aims to provide the retina specialist with answers to patient's questions related to the management of lamellar macular holes (LMHs). Most LMHs are stable over time, but 13-21% present an anatomic decline after 18-24 months of follow-up. Nineteen point five percent of the eyes may experience a visual acuity (VA) loss of more than 5 letters after 3 years. Many surgeons choose to perform surgery when there is significant metamorphopsia or documented decline in VA over time. e typical surgery is phacovitrectomy with the epiretinal membrane and the internal limiting membrane peeling in previously phakic eyes (41.9 to 85.3% of the eyes). In the eyes that remained phakic, cataract surgery was often necessary within the first year of follow-up (19.2 to 40% of eyes). After surgery, a VA gain was recorded in 63-94% of eyes, but some eyes (between 0 and 20%) suffered some VA loss. Progression to full-thickness macular hole may occur after surgery, and thus a second surgical intervention may be needed.

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Macular Epiretinal Membrane Surgery

Morizane

Kanzaki

2022

Albert and Jakobiec's Principles and Practice of Ophthalmology

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Long-term follow-up of lamellar macular holes and pseudoholes over at least 5 years

Cited by 31 publications

References 28 publications

A Double Inverted Flap Surgical Technique for the Treatment of Idiopathic Lamellar Macular Hole Associated with Atypical Epiretinal Membrane

A Double Inverted Flap Surgical Technique for the Treatment of Idiopathic Lamellar Macular Hole Associated with Atypical Epiretinal Membrane

The Management of Lamellar Macular Holes: A Review

Macular Epiretinal Membrane Surgery

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