The Management of Lamellar Macular Holes: A Review.
Journal
Journal of ophthalmology
ISSN: 2090-004X
Titre abrégé: J Ophthalmol
Pays: United States
ID NLM: 101524199
Informations de publication
Date de publication:
2020
2020
Historique:
received:
04
11
2019
revised:
19
01
2020
accepted:
31
01
2020
entrez:
10
3
2020
pubmed:
10
3
2020
medline:
10
3
2020
Statut:
epublish
Résumé
This literature review aims to provide the retina specialist with answers to patient's questions related to the management of lamellar macular holes (LMHs). Most LMHs are stable over time, but 13-21% present an anatomic decline after 18-24 months of follow-up. Nineteen point five percent of the eyes may experience a visual acuity (VA) loss of more than 5 letters after 3 years. Many surgeons choose to perform surgery when there is significant metamorphopsia or documented decline in VA over time. The typical surgery is phacovitrectomy with the epiretinal membrane and the internal limiting membrane peeling in previously phakic eyes (41.9 to 85.3% of the eyes). In the eyes that remained phakic, cataract surgery was often necessary within the first year of follow-up (19.2 to 40% of eyes). After surgery, a VA gain was recorded in 63-94% of eyes, but some eyes (between 0 and 20%) suffered some VA loss. Progression to full-thickness macular hole may occur after surgery, and thus a second surgical intervention may be needed.
Identifiants
pubmed: 32148938
doi: 10.1155/2020/3526316
pmc: PMC7054780
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
3526316Informations de copyright
Copyright © 2020 Ciprian Danielescu et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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