Atsushi Fujiwara    Department   Kawasaki University of Medical Welfare  ,    Position   Assistant Professor
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 / Foregin	Foregin
Volume, Issue, Page	18(1),pp.257
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