フジワラ アツシ
  藤原 篤之
   所属   川崎医療福祉大学  リハビリテーション学部 視能療法学科
   職種   助教
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Embedding of lamellar hole-associated epiretinal proliferation combined with internal limiting membrane inversion for the treatment of lamellar macular hole: a case report.
掲載誌名 正式名:BMC ophthalmology
略  称:BMC Ophthalmol
ISSNコード:14712415/14712415
掲載区分国外
巻・号・頁 18(1),257頁
著者・共著者 Shiode Yusuke, Morizane Yuki, Takahashi Kosuke, Kimura Shuhei, Hosokawa Mio, Hirano Masayuki, Doi Shinichiro, Toshima Shinji, Hosogi Mika, Fujiwara Atsushi, Shiraga Fumio
発行年月 2018/09
概要 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.
DOI 10.1186/s12886-018-0926-8
PMID 30249209