Abstract
Background: We recently reported that lamellar macular hole (LMH) with lamellar hole-associated epiretinal proliferation (LHEP) can be effectively treated by embedding the LHEP into the retinal cleavage to improve foveal contour and visual acuity. Here, we report a case of LMH with LHEP for which we performed embedding of the LHEP combined with internal limiting membrane (ILM) inversion. We then evaluated the effects of this surgery on macular morphology and visual functions. Case presentation: A 62-year-old man presented with visual disturbance (20/29) and metamorphopsia in his right eye. B-scan optical coherence tomography (OCT) imaging revealed the presence of both partial-thickness defect of the macula with degenerative retinal cleavage and LHEP at the surface of the retina. En face OCT imaging showed the absence of retinal fold. We performed phacoemulsification with intraocular lens implantation, vitrectomy, embedding of LHEP into the retinal cleavage, and ILM inversion. Three months after the surgery, both foveal contour and visual acuity (20/20) were improved and metamorphopsia was reduced. Conclusion: Embedding of the LHEP combined with ILM inversion may be an effective treatment for LMH with LHEP.
| Original language | English |
|---|---|
| Article number | 257 |
| Journal | BMC Ophthalmology |
| Volume | 18 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Sep 24 2018 |
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Keywords
- Epiretinal membrane
- Internal limiting membrane
- Lamellar hole-associated epiretinal proliferation
- Lamellar macular hole
ASJC Scopus subject areas
- Ophthalmology
Cite this
Embedding of lamellar hole-associated epiretinal proliferation combined with internal limiting membrane inversion for the treatment of lamellar macular hole : A case report 11 Medical and Health Sciences 1113 Ophthalmology and Optometry. / Shiode, Yusuke; Morizane, Yuki; Takahashi, Kosuke; Kimura, Shuhei; Hosokawa, Mio; Hirano, Masayuki; Doi, Shinichiro; Toshima, Shinji; Hosogi, Mika; Fujiwara, Atsushi; Shiraga, Fumio.
In: BMC Ophthalmology, Vol. 18, No. 1, 257, 24.09.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Embedding of lamellar hole-associated epiretinal proliferation combined with internal limiting membrane inversion for the treatment of lamellar macular hole
T2 - A case report 11 Medical and Health Sciences 1113 Ophthalmology and Optometry
AU - Shiode, Yusuke
AU - Morizane, Yuki
AU - Takahashi, Kosuke
AU - Kimura, Shuhei
AU - Hosokawa, Mio
AU - Hirano, Masayuki
AU - Doi, Shinichiro
AU - Toshima, Shinji
AU - Hosogi, Mika
AU - Fujiwara, Atsushi
AU - Shiraga, Fumio
PY - 2018/9/24
Y1 - 2018/9/24
N2 - Background: We recently reported that lamellar macular hole (LMH) with lamellar hole-associated epiretinal proliferation (LHEP) can be effectively treated by embedding the LHEP into the retinal cleavage to improve foveal contour and visual acuity. Here, we report a case of LMH with LHEP for which we performed embedding of the LHEP combined with internal limiting membrane (ILM) inversion. We then evaluated the effects of this surgery on macular morphology and visual functions. Case presentation: A 62-year-old man presented with visual disturbance (20/29) and metamorphopsia in his right eye. B-scan optical coherence tomography (OCT) imaging revealed the presence of both partial-thickness defect of the macula with degenerative retinal cleavage and LHEP at the surface of the retina. En face OCT imaging showed the absence of retinal fold. We performed phacoemulsification with intraocular lens implantation, vitrectomy, embedding of LHEP into the retinal cleavage, and ILM inversion. Three months after the surgery, both foveal contour and visual acuity (20/20) were improved and metamorphopsia was reduced. Conclusion: Embedding of the LHEP combined with ILM inversion may be an effective treatment for LMH with LHEP.
AB - Background: We recently reported that lamellar macular hole (LMH) with lamellar hole-associated epiretinal proliferation (LHEP) can be effectively treated by embedding the LHEP into the retinal cleavage to improve foveal contour and visual acuity. Here, we report a case of LMH with LHEP for which we performed embedding of the LHEP combined with internal limiting membrane (ILM) inversion. We then evaluated the effects of this surgery on macular morphology and visual functions. Case presentation: A 62-year-old man presented with visual disturbance (20/29) and metamorphopsia in his right eye. B-scan optical coherence tomography (OCT) imaging revealed the presence of both partial-thickness defect of the macula with degenerative retinal cleavage and LHEP at the surface of the retina. En face OCT imaging showed the absence of retinal fold. We performed phacoemulsification with intraocular lens implantation, vitrectomy, embedding of LHEP into the retinal cleavage, and ILM inversion. Three months after the surgery, both foveal contour and visual acuity (20/20) were improved and metamorphopsia was reduced. Conclusion: Embedding of the LHEP combined with ILM inversion may be an effective treatment for LMH with LHEP.
KW - Epiretinal membrane
KW - Internal limiting membrane
KW - Lamellar hole-associated epiretinal proliferation
KW - Lamellar macular hole
UR - http://www.scopus.com/inward/record.url?scp=85053786815&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053786815&partnerID=8YFLogxK
U2 - 10.1186/s12886-018-0926-8
DO - 10.1186/s12886-018-0926-8
M3 - Article
C2 - 30249209
AN - SCOPUS:85053786815
VL - 18
JO - BMC Ophthalmology
JF - BMC Ophthalmology
SN - 1471-2415
IS - 1
M1 - 257
ER -