Case Series of Recurring Spontaneous Closure of Macular Hole

Elhusseiny, Abdelrahman M.; Smiddy, William E.; Flynn, Harry W.; Schwartz, Stephen G.

doi:10.1155/2019/2398342

Cited by 9 publications

(9 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management of different ocular disorders has been revolutionized due to the tremendous advances in OCT technology [24,25,29]. This cohort of 44 eyes with a mean follow-up duration of 3 ± 0.6 months after the last session of the PRP represented the short-term longitudinal changes in the CMT and SFCT using SS-OCT.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal analysis of subfoveal choroidal thickness after panretinal laser photocoagulation in diabetic retinopathy using swept-source optical coherence tomography

Eleiwa

Bayoumy

Elhusseiny

et al. 2020

rjo

View full text Add to dashboard Cite

Purpose: To describe the central three-dimensional (3D) thickness profile of the macula (CMT) and the subfoveal choroidal region (SFCT) in diabetic retinopathy (DR) following panretinal laser photocoagulation (PRP) using swept-source optical coherence tomography (SS-OCT). Methods: A prospective observational study including 17 eyes with proliferative DR (PDR) and 27 eyes with severe nonproliferative DR (sNPDR)] for whom PRP was done. All subjects received SS-OCT imaging before and 3 months after PRP (POM#3). SFCT and CMT changes were analysed at both visits. Intraclass Correlation Coefficients (ICC) and Coefficients of Variation (COV) were used to test the accuracy of thickness data. Results: SFCT has thinned from 233 ± 54 µm before PRP treatment to 216 ± 51 µm 3 months later (p < 0.001). Likewise, CMT declined at POM#3 as compared to pre-PRP status (p<0.001). SFCT was thinner in PDR before and at POM#3 (p<0.05) than sNPDR; whereas, no significant difference was observed in CMT between both groups in the two visits. No significant changes were found between groups in SFCT and CMT at POM#3. Regarding reliability, ICC SFCT =0.98 and ICC CMT =0.99. The COVs for CMT and SFCT were 5.03% and 5.91%, respectively. Conclusion:The mean SFCT and CMT decreased 3 months after PRP. We also reported reliability of SFCT measurements in DR using SS-OCT.

show abstract

Section: Discussionmentioning

confidence: 99%

Longitudinal analysis of subfoveal choroidal thickness after panretinal laser photocoagulation in diabetic retinopathy using swept-source optical coherence tomography

Eleiwa

Bayoumy

Elhusseiny

et al. 2020

rjo

View full text Add to dashboard Cite

show abstract

“… 11 The current study was not designed to evaluate this natural history question. Although spontaneous closure of small MHs has been demonstrated, 12 and some providers recommend observation of early, small MHs, this was not the usual practice of the current investigators.…”

Section: Discussionmentioning

confidence: 92%

Rates of Fellow Eye Macular Hole Development During Long Term Follow-Up

Staropoli

Moolani

Elhusseiny

et al. 2023

OPTH

Self Cite

View full text Add to dashboard Cite

Identify the long-term rate of fellow eye full-thickness macular hole (FTMH) development.Patients and Methods: In this single site, single provider retrospective consecutive case series, idiopathic FTMH patients who underwent surgery from 2003 to 2014 who also had at least 5 years of follow-up information within our electronic medical record (EMR) which was started in 2014 were identified. Cases with secondary causes (ie, trauma), high myopia, bilateral FTMH on presentation, previous retinal surgery, retinal breaks, or intraocular inflammation were excluded. Demographics, medical and ocular history, refractive error, phakic status, best corrected visual acuity, follow-up duration, surgical technique, single operation anatomic success, and reoperations were recorded. Results: The rate of fellow eye FTMH was 2.6% (2/77) at 1 year, 5.2% (4/77) at 3 years, 9.1% (6/66) at 6 years, and 9.1% (7/77) as of final follow up. There were 2 cases by year 1, 2 additional cases by year 3, 2 additional cases by year 6, and 1 additional case reported thereafter. The average follow up was 11.1 ± 4.5 years. There was no significant difference in visual outcomes between primary eyes and fellow eyes. There was no significant difference in gender, age, ocular comorbidities, refractive error, phakic status, and visual acuity between the unilateral and bilateral groups. Conclusion:The rate of FTMH in the fellow eye was low but significant, increased during long-term follow up, and may stabilize after 6 years.

show abstract

“…9,10 Intraretinal edema might facilitate spontaneous MH closure by reapproximating the hole edges through physical expansion, and recurrent macular edema, as is associated with CRVO and visible in Figure 1F, might have exercised this effect. 11 The ERM was also visible in Figure 1F, and centripetal contraction of this thin ERM after the next intravitreal RBZ could have released the mechanical stress on the retina, allowing for approximation of MH edges and hole closure. 10 To conclude, this case reinforces the importance of careful evaluation of the vitreoretinal interface before and during intravitreal pharmacotherapy for RVO.…”

Section: Discussionmentioning

confidence: 97%

Case Series of Recurring Spontaneous Closure of Macular Hole

Cited by 9 publications

References 10 publications

Longitudinal analysis of subfoveal choroidal thickness after panretinal laser photocoagulation in diabetic retinopathy using swept-source optical coherence tomography

Longitudinal analysis of subfoveal choroidal thickness after panretinal laser photocoagulation in diabetic retinopathy using swept-source optical coherence tomography

Rates of Fellow Eye Macular Hole Development During Long Term Follow-Up

Full-Thickness Macular Hole Formation and Spontaneous Closure During Intravitreal Ranibizumab Therapy for Central Retinal Vein Occlusion

Contact Info

Product

Resources

About