Embedding of lamellar hole-associated epiretinal proliferation combined with internal limiting membrane inversion for the treatment of lamellar macular hole: a case report

BMC Ophthalmology

卷:18

Masayuki Hirano¹  Shuhei Kimura¹  Yusuke Shiode¹  Yuki Morizane¹  Shinichiro Doi¹  Mio Hosokawa¹  Shinji Toshima¹  Kosuke Takahashi¹  Mika Hosogi¹  Atsushi Fujiwara¹  Fumio Shiraga¹ 

[1] Department of Ophthalmology, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine;

关键词: Epiretinal membrane;    Internal limiting membrane;    Lamellar macular hole;    Lamellar hole-associated epiretinal proliferation;   

DOI  :  10.1186/s12886-018-0926-8

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown