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Lamellar macular hole in high myopic eyes with posterior staphyloma: morphological and functional characteristics

  • Frisina RinoEmail author
  • Zampedri Elena
  • Marchesoni Ivan
  • Bosio Paolo
  • Parolini Barbara
  • Romanelli Federica
Retinal Disorders

Abstract

Purpose

To study morphological and functional characteristics of myopic lamellar macular hole (LMH) with posterior staphyloma.

Methods

Retrospective observational longitudinal study. Forty myopic eyes affected by LMH and posterior staphyloma have been examined. Pathological myopia was defined as axial length equal or superior to 26.5 mm. LMH was defined on the basis of the following characteristics: irregular foveal contour, inner retinal defect with or without intraretinal splitting and absence of full thickness retinal defect. Demographic and functional parameters were: age, sex, status of lens and best corrected visual acuity (BCVA). Tomographic parameters were: type of LMH, macular retinoschisis (MRS), posterior vitreous detachment (PVD), type of epiretinal membrane (ERM), integrity of ellipsoid zone (EZ) and external limiting membrane (ELM), residual foveal thickness (RFT) and maximal diameter of intraretinal splitting (MDIRS).

Results

The statistical analysis showed a significant prevalence of posterior vitreous adherence in the atypical ERM subgroup (P = 0.001). EZ (P = 0.006) and ELM (P = 0.007) damages were significantly associated with the atypical ERM subgroup. RFT was statistically lower in the atypical ERM subgroup compared to the conventional ERM subgroup (P = 0.015). During the follow-up, the statistical analysis showed a significant reduction of RFT in the atypical ERM subgroup (P = 0.041).

Conclusions

Myopic lamellar macular hole (LMH) associated with atypical ERM is a more severe clinical entity than myopic LMH associated with conventional ERM.

Keywords

Lamellar macular hole Epiretinal membrane Macular retinoschisis Posterior vitreous detachment Myopic traction maculopathy Ellipsoid zone 

Notes

Compliance with ethical standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

For this type of study, formal consent is not required.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Frisina Rino
    • 1
    Email author
  • Zampedri Elena
    • 1
  • Marchesoni Ivan
    • 1
  • Bosio Paolo
    • 1
  • Parolini Barbara
    • 2
  • Romanelli Federica
    • 1
  1. 1.Multizonal Unit of Ophthalmology of Autonomous Province of Trento (TN)RoveretoItaly
  2. 2.Department of Ophthalmology of Sant’Anna InstituteBresciaItaly

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