Assessment of OCT measurements as prognostic factors in myopic macular hole surgery without foveoschisis

Alkabes, Micol; Padilla, Leyla; Salinas, Cecilia; Nucci, Paolo; Vitale, Lucia; Pichi, Francesco; Burés-Jelstrup, Anniken; Mateo, Carlos

doi:10.1007/s00417-013-2347-y

Cited by 37 publications

(28 citation statements)

References 43 publications

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“…The small size of the macular hole in the current case might be one cause. It has been reported that in both emmetropic and highly myopic eyes, small macular holes were more likely to be closed after surgical treatment [10, 11]. After closure, however, the retinal detachment was reduced with the reabsorption of subretinal fluid by the retinal pigment epithelium (RPE) pump, though this might be inefficient because of the degeneration and atrophy of the RPE and choroid.…”

Section: Resultsmentioning

confidence: 99%

Spontaneous closure of a myopic macular hole with retinal reattachment in an eye with high myopia and staphyloma: a case report

Jiang

2014

BMC Ophthalmol

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BackgroundMacular hole related retinal detachment is a common entity with poor surgical prognosis in highly myopic eyes. We describe the first case of spontaneous closure of a macular hole with complete retinal reattachment in a highly myopic eye with posterior staphyloma.Case presentationA 64-year-old Chinese woman with high myopia was diagnosed as having a macular hole-related retinal detachment with vitreo-retinal traction in her right eye by optical coherence tomography. Thirty-three months later, the macular hole closed, with formation of a lamellar hole and decreased retinal detachment. Twelve months later, retinal reattachment was found to have occurred, accompanied by the development of macular retinoschisis. Fifty-four months after initial examination, the retina remained attached with a lamellar hole and retinoschisis in the macular area. The vitreo-retinal traction persisted during the follow-up period.ConclusionAs evidenced by the current case, in highly myopic eyes, the vitreoretinal traction force, which contributes to a macular hole and retinal detachment, could be partially released by the development of a lamellar hole or foveal schisis. This reduction of traction might contribute to retinal reattachment.

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Section: Resultsmentioning

confidence: 99%

Spontaneous closure of a myopic macular hole with retinal reattachment in an eye with high myopia and staphyloma: a case report

Jiang

2014

BMC Ophthalmol

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“…4-7, 10 Kobayashi et al 6 and Sulkes et al 7 found no association between axial length and anatomical success of surgery. 8,[12][13][14] In an OCT-supported comparative study, Wu and Kung 12 confirmed that the closure rate of myopic macular holes is much lower than in idiopathic cases, 62.5% versus 94.1%. However, Garcia-Arumi et al 4 presented a closure rate of 87.5% and an improvement of visual acuity in 83.3% of the cases.…”

Section: Discussionmentioning

confidence: 95%

Inverted Internal Limiting Membrane Flap Technique for Surgical Repair of Myopic Macular Holes

Michalewska¹,

Michalewski²,

Dulczewska-Cichecka³

et al. 2014

Retina

171

115

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“…Despite similar surgical approaches, the anatomical outcome after vitrectomy may be very different from series to series. [25][26][27][28][29] Although it has been shown that longer axial length is associated with more severe traction maculopathy and poorer surgical anatomic outcome, 30 the case number is too small to provide meaningful statistical analysis on risk factors of persistent MH.…”

Section: Discussionmentioning

confidence: 99%

The development and evolution of full thickness macular hole in highly myopic eyes

Yang

2015

Eye

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Purpose To evaluate the morphological changes before and after the formation of a full-thickness macular hole (MH) in highly myopic eyes. Patients and methods Retrospective observational case series. From 2006 to 2013, clinical records of patients with MH and high myopia who had optical coherence tomography (OCT) before the development of MH were reviewed. All patients had been followed for more than 1 year since MH formation to observe the morphological changes.Results Twenty-six eyes of 24 patients were enrolled. The initial OCT images could be classified into four types: (1) normal foveal depression with abnormal vitreo-retinal relationship (eight cases), (2) macular schisis without detachment (six cases), (3) macular schisis with concomitant/subsequent detachment (nine cases), and (4) macular atrophy with underlying/adjacent scar (three cases). After MH formation, one case in type 1 and one case in type 4 group developed retinal detachment (RD). In type 2 group, four cases developed RD at the same time of MH formation. The preexisting detachment in type 3 group extended in eight cases and improved in one case. Among all the cases, 14 eyes received vitrectomy and 7 eyes received gas injection. MH sealed in nine eyes after vitrectomy and four eyes by gas injection. Conclusion The study revealed four pathways of MH formation in highly myopic eyes. MH from macular schisis tended to be associated with detachment. However, the evolution and the results of surgical intervention were not always predictable.

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Assessment of OCT measurements as prognostic factors in myopic macular hole surgery without foveoschisis

Cited by 37 publications

References 43 publications

Spontaneous closure of a myopic macular hole with retinal reattachment in an eye with high myopia and staphyloma: a case report

Spontaneous closure of a myopic macular hole with retinal reattachment in an eye with high myopia and staphyloma: a case report

Inverted Internal Limiting Membrane Flap Technique for Surgical Repair of Myopic Macular Holes

The development and evolution of full thickness macular hole in highly myopic eyes

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