Macular Hole Formation After Vitreomacular Detachment With an Operculum

Abstract

In this case, the MH resulted from the tangential traction caused by the epiretinal membrane after vitreomacular detachment developed; the MH was accompanied by a small round operculum, a retinal dimple beneath the membrane, and a tightrope-like structure that bridged the hole edges. The operculum likely comprised a detached inner foveal retina alone and did not include retinal photoreceptor cells.

Surgical Management of Full-Thickness Macular Holes Spontaneously Arising From Lamellar Macular Holes

“…Sixteen studies 2,3,5,6 –18 with a combined sample of 76 eyes (n = 76) were included (Table 1). Thirteen studies 2,3,6 –12,14 –17 (n = 40) used ILM peeling, 1 study 5 (n = 32) used inverted ILM flap techniques, and 2 studies 13,18 (n = 4) did not specify the surgical technique.…”

“…Based on the 13 studies using ILM peeling, the hole-closure rate was 85% (34/40). Demographic data were available for 9 studies 2,3,6,8,10 –12,15,17 (n = 35) with ILM peeling. These patients had a mean age of 58.5 ± 14.8 years, and 54.3% were men.…”

“…These patients had a mean age of 58.5 ± 14.8 years, and 54.3% were men. The BCVA data were available for 8 studies 2,3,6,10 –12,15,17 (n = 30) of ILM peeling. The mean BCVA improved from 0.64 ± 0.46 logMAR (Snellen 20/87) preoperatively to 0.25 ± 0.22 logMAR (Snellen 20/36) postoperatively.…”