Asymmetrical Recovery of Cone Outer Segment Tips Line and Foveal Displacement After Successful Macular Hole Surgery

Itoh, Yuji; Inoue, Makoto; Rii, Tosho; Ando, Yumiko; Hirakata, Akito

doi:10.1167/iovs.14-13973

Cited by 34 publications

(25 citation statements)

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“…Several studies have demonstrated a displacement of the fovea toward the optic disk after ILM peeling 10–13,15. The present three cases also showed a reduction in the papillofoveal distances, suggesting that a centripetal retinal movement and retinal displacement toward the optic disk may have occurred simultaneously.…”

Section: Discussionsupporting

confidence: 65%

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Increase in average foveal thickness after internal limiting membrane peeling

Kumagai

Furukawa

Suetsugu

et al. 2017

OPTH

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PurposeTo report the findings in three cases in which the average foveal thickness was increased after a thin epiretinal membrane (ERM) was removed by vitrectomy with internal limiting membrane (ILM) peeling.MethodsThe foveal contour was normal preoperatively in all eyes. All cases underwent successful phacovitrectomy with ILM peeling for a thin ERM. The optical coherence tomography (OCT) images were examined before and after the surgery. The changes in the average foveal (1 mm) thickness and the foveal areas within 500 μm from the foveal center were measured. The postoperative changes in the inner and outer retinal areas determined from the cross-sectional OCT images were analyzed.ResultsThe average foveal thickness and the inner and outer foveal areas increased significantly after the surgery in each of the three cases. The percentage increase in the average foveal thickness relative to the baseline thickness was 26% in Case 1, 29% in Case 2, and 31% in Case 3. The percentage increase in the foveal inner retinal area was 71% in Case 1, 113% in Case 2, and 110% in Case 3, and the percentage increase in foveal outer retinal area was 8% in Case 1, 13% in Case 2, and 18% in Case 3.ConclusionThe increase in the average foveal thickness and the inner and outer foveal areas suggests that a centripetal movement of the inner and outer retinal layers toward the foveal center probably occurred due to the ILM peeling.

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Section: Discussionsupporting

confidence: 65%

“…Movements of the retinal tissues associated with ILM peeling are well recognized to occur after treatment for several retinal diseases such as MH,9–13 ERM,14 and diabetic macular edema 15. These retinal movements may contribute to the healing processes after the surgery.…”

Section: Discussionmentioning

confidence: 99%

Increase in average foveal thickness after internal limiting membrane peeling

Kumagai

Furukawa

Suetsugu

et al. 2017

OPTH

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“…[12][13][14] Alterations in the retinal microstructure and structural stability due to ILM peeling have been postulated as a reason for nasal displacement of retina after MH surgery with ILM peeling. [15][16][17][18] The changes in retinal microstructure found in our study may also be partially caused by an alteration in structural stability due to ILM peeling. The frequency of the notching of tissue as well as the amount of foveal tissue elongation were relatively greater in the nasal direction, suggesting these phenomena may have some association with nasal displacement of the retina, as was reported in previous studies.…”

Section: Discussionmentioning

confidence: 60%

Temporal changes in foveal contour after macular hole surgery

Kim

Kang

Lee

et al. 2014

Eye

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“…These cases were presumably congenital and developmental anomalies. Foveal displacement may be associated with intraocular surgeries such as retinal detachment or macular hole surgeries [6][7][8] . In a study performed Kawano et al [8] after vitrectomy with ILM peeling for macular hole, fovea of the patients displaced toward the optic disc.…”

Section: Discussionmentioning

confidence: 99%