Macular Hole in Proliferative Diabetic Retinopathy With Fibrovascular Proliferation

Yeh, Po-Ting; Cheng, Cheng-Kuo; Chen, Muh‐Shy; Yang, Chang‐Hao; Yang, Chung-May

doi:10.1097/iae.0b013e31818c3251

Cited by 33 publications

(50 citation statements)

References 13 publications

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“…There may be broad or multiple focal vitreomacular adhesions at or close to the hole edge. However, one should remember that the final visual acuity might not improve despite successful hole closure …”

Section: Indications For Surgerymentioning

confidence: 99%

Surgical treatment for diabetic vitreoretinal diseases: a review

Sharma

Fong

Lai³

et al. 2016

Clinical Exper Ophthalmology

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Over the past four decades, advancements in surgical instrumentations and techniques have significantly improved the postoperative anatomical and visual outcomes of patients with various diabetic vitreoretinal diseases. In particular, surgical interventions for previously serious and untreatable blinding proliferative diabetic retinopathy can now be performed, with much better results. The advents of micro incisional vitrectomy system with better visualization system like binocular indirect ophthalmomicroscope and stateof-the-art instrumentation revolutionized the era of diabetic vitrectomy. High-speed vitrectors, finer instruments, chromo-assisted vitrectomy and use of antivascular endothelial growth factors not only change the paradigm but also help achieve much better outcome after diabetic vitrectomies. In this review, we will discuss and summarize the indications, surgical considerations, surgical techniques, potential complications and outcomes of vitreoretinal surgery for diabetic eye diseases.

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Section: Indications For Surgerymentioning

confidence: 99%

Surgical treatment for diabetic vitreoretinal diseases: a review

Sharma

Fong

Lai³

et al. 2016

Clinical Exper Ophthalmology

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show abstract

“…1 It may also develop after ocular trauma 2 or in association with high myopia, rhegmatogenous retinal detachment (RD), or diabetic retinopathy. 3 Extensive studies by optical coherence tomography (OCT) confirm that the formation of idiopathic macular hole (MH) is usually associated with vitreofoveal traction, or less frequently with epiretinal membrane. 1,4 High myopia has a high prevalence in Taiwan, 5 with MH being one of the frequently seen complications of myopic maculopathy.…”

Section: Introductionmentioning

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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“…Bu gözlerde, çekintiye neden olan fibrovasküler doku veya sıkı arka hyaloid cerrahi ile uzaklaştırıldığında makula deliği sıklıkla kapanmakta ve idiyopatik makula deliği cerrahisinde rutin uygulamaya giren İLM soyulması işleminin mutlaka gerekli olmadığı belirtilmektedir. 4,6 Delik kapanma oranı yüksek olsa bile altta yatan makula iskemisi ile ödeme bağlı makula hasarı veya uzun süreli makula dekolmanının varlığı nedeniyle görme artışı sınırlı olmaktadır. 3 Ghoraba, 3 çalışmasındaki olgularından hiçbirinde son görme keskinliğinin 0,2'den daha yüksek olmadığını rapor etmiştir.…”

Section: Discussionunclassified

“…Makula deliği gelişimi diyabetik retinopati zemininde de olabilir ve görece nadir bir durum olarak literatürde rapor edilmiştir. [2][3][4] Diyabetik retinopatide makula deliği farklı tiplerde olabilir ve değişik mekanizmalar sonucu oluşur. Bu makalede bu farklı patofizyolojik mekanizmalar örnekler ile sunulmaktadır.…”

Section: Gi Riflunclassified

Proliferatif Diyabetik Retinopatide Makula Deliği Gelişimine Yol Açan Farklı Mekanizmalar

...

2012

Tjo

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Macular Hole in Proliferative Diabetic Retinopathy With Fibrovascular Proliferation

Cited by 33 publications

References 13 publications

Surgical treatment for diabetic vitreoretinal diseases: a review

Surgical treatment for diabetic vitreoretinal diseases: a review

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

Proliferatif Diyabetik Retinopatide Makula Deliği Gelişimine Yol Açan Farklı Mekanizmalar

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