Fixation Point After Successful Macular Hole Surgery With Internal Limiting Membrane Peeling

Yanagita, Tomohiko; Shimizu, Kimiya; Fujimura, Fusako; Takano, Masahiko

doi:10.3928/15428877-20090301-23

Cited by 17 publications

(11 citation statements)

References 25 publications

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“…Another change in the retinal structure after vitrectomy with ILM peeling is the centripetal movement of the retina around an MH toward the foveal pit after vitrectomy with ILM peeling. 4 However, Kawano et al 5 recently showed a displacement of the macula toward the optic disc, which has been confirmed in latter studies including ours. 6 – 8 These displacements have been measured relative to the location of the MH, and how these displacements occur relative to the fovea before the development of an MH has not been determined.…”

Section: Introductionsupporting

confidence: 83%

“…We were able to obtain SD-OCT images of the preopened MH in these two cases because they had an earlier MH in the fellow eye. Yanagita et al 4 studied 21 cases of an MH, and they reported that the retinal blood vessels near the MH were displaced toward the center of the fovea after a closure of a MH by vitrectomy with ILM peeling. They suggested that the retina around the MH moved toward the foveal pit after the MH surgery.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Displacement of fovea toward optic disk after macular hole surgery with internal limiting membrane peeling

Ohta¹,

Sato²,

Senda³

et al. 2017

IMCRJ

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PurposeThe purpose of this study was to demonstrate a displacement of the foveal depression toward the optic disk after idiopathic macular hole (MH) surgery with internal limiting membrane (ILM) peeling.MethodsTwo patients with a unilateral MH developed an MH in the fellow eyes. Vitrectomy with ILM peeling was performed on the fellow eye to close the MH. Images of spectral-domain optical coherence tomography (SD-OCT) were used to measure the disk-to-fovea distances pre MH formation, after MH formation, and 6 months after the closure of the MH.ResultsThe disk-to-fovea distance was shorter at 6 months than after the development of the MH (4,109 µm and 4,174 µm in Case 1 and 4,001 µm and 4,051 µm in Case 2).ConclusionThese results indicate that the fovea moves nasally after the MH surgery with ILM peeling.

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Section: Introductionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Displacement of fovea toward optic disk after macular hole surgery with internal limiting membrane peeling

Ohta¹,

Sato²,

Senda³

et al. 2017

IMCRJ

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show abstract

“…Yanagita et al 13 reported that after a closure of a MH by vitrectomy, the retinal blood vessels near the MH are displaced toward the center of the fovea in all cases. They suggested that the retina around the MH moved toward the foveal pit after vitrectomy.…”

Section: Introductionmentioning

confidence: 99%

Displacement of foveal area toward optic disc after macular hole surgery with internal limiting membrane peeling

Kawano

Ito

Kondo

et al. 2013

Eye

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Purpose To determine whether there is a displacement of the fovea toward the optic disc after successful macular hole (MH) surgery with internal limiting membrane (ILM) peeling. Methods The medical records of 54 eyes of 53 patients that had undergone pars plana vitrectomy with ILM peeling and gas or air tamponade for an idiopathic MH were evaluated. Spectral-domain optical coherence tomography (OCT) had been performed before and 46 months after the surgery. The preoperative distances between the center of the MH and the optic disc (MH-OD), center of the MH and the bifurcation or crossing of retinal vessels (MH-RV) were measured in the OCT images. In addition, the postoperative distance between the center of the fovea and optic disc (F-OD) and the center of the fovea and the same bifurcation or crossing of retinal vessels (F-RV) were measured in the OCT images. Results The F-OD was 2.67 ± 0.33 disc diameters (DD), which was significantly shorter than that of the MH-OD of 2.77 ± 0.33 DD (Po0.001). The F-RV was also significantly shorter than the MH-RV on the inner nasal area (from 0.85 ± 0.16DD to 0.79 ± 0.15DD; Po0.001), the inner temporal area (from 0.82±0.15DD to 0.77±0.14DD; Po0.001), and outer nasal area (from 1.70 ± 0.31DD to 1.65 ± 0.32DD; Po0.001), but it was significantly longer than the MH-RV in the outer temporal area (from 1.65±0.29DD to 1.68±0.29DD; Po0.001).Conclusion Our results showed that successful closure of a MH by vitrectomy with ILM peeling and gas tamponade leads to a displacement of the center of the macula toward the optic disc.

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“…Yanagita et al reported that the retina around a MH moved toward the foveal pit after vitrectomy [13]. On the other hand, Kawano et al recently showed a displacement of the macula toward the optic disc [14].…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Macular Hole Displaced Toward Optic Disc after Vitrectomy with Internal Limiting Membrane Peeling

Ohta¹

2014

J Clin Exp Ophthalmol

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Purpose: To compare the distance between the optic disc and the fovea (disc-to-fovea distance) before and after a successful closure of an idiopathic macular hole (MH) by pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling. Methods: This was a retrospective observational study of 37 eyes of 36 patients with a MH that had undergone PPV. The distance between the point of intersection of a blood vessel and the disc margin and the center of the opened or closed MH at 6 months after surgery was measured in the Spectralis HRA+OCT (Heidelberg Engineering, Germany) images. Results: The mean disc-to-fovea distance was significantly shorter postoperatively than preoperatively (3,783.7 ± 308.5 µm and 3,914.5 ± 320.4 µm, respectively; P<0.0001). The distance in eyes with Stage 3 and 4 MH (n=22) was significantly greater than that in eyes with Stage 2 MH (136.7 ± 134.9 µm vs. 107.8 ± 107.8 µm, respectively; P= 0.012; n= 15). Conclusions: The significantly shorter postoperative disc-to-fovea distance in eyes with a closed MH especially Stage 3 and 4 MHs suggests that the fovea moves nasally after PPV with ILM peeling.

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Fixation Point After Successful Macular Hole Surgery With Internal Limiting Membrane Peeling

Abstract: Scanning laser ophthalmoscope microperimetry facilitated pinpointing of fixation points before and after surgery. The correlation between macular hole size and fixation point shift suggests that the retina around the hole moves centripetally after surgery.

Cited by 17 publications

References 25 publications

Displacement of fovea toward optic disk after macular hole surgery with internal limiting membrane peeling

Displacement of fovea toward optic disk after macular hole surgery with internal limiting membrane peeling

Displacement of foveal area toward optic disc after macular hole surgery with internal limiting membrane peeling

Idiopathic Macular Hole Displaced Toward Optic Disc after Vitrectomy with Internal Limiting Membrane Peeling

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