藤原 篤之
   Department     ,
   Position  
Article types 原著
Language English
Peer review Peer reviewed
Title Embedding of lamellar hole-associated epiretinal proliferation combined with internal limiting membrane inversion for the treatment of lamellar macular hole: a case report.
Journal Formal name:BMC ophthalmology
Abbreviation:BMC Ophthalmol
ISSN code:14712415/14712415
Domestic / ForeginForegin
Volume, Issue, Page 18(1),257頁
Author and coauthor Shiode Yusuke, Morizane Yuki, Takahashi Kosuke, Kimura Shuhei, Hosokawa Mio, Hirano Masayuki, Doi Shinichiro, Toshima Shinji, Hosogi Mika, Fujiwara Atsushi, Shiraga Fumio
Publication date 2018/09
Summary 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