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Surgical treatment of lamellar macular hole secondary to epiretinal membrane

  • Retinal Disorders
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Background

To examine the surgical results of lamellar macular hole (LMH) secondary to epiretinal membrane (ERM).

Methods

A 3-year retrospective review was performed of patients with LMH secondary to ERM that underwent ERM and internal limiting membrane (ILM) peeling. The main outcome measures included best-corrected visual acuity (BCVA) and postoperative macular structure. The results were compared with cases of idiopathic ERM with similar baseline demographic characteristics.

Results

Thirty eyes in 30 patients were collected. The mean BCVA improvement was 3.4 Snellen lines after a mean follow-up period of 16.9 months. Optical coherence tomography (OCT) showed improved macular contour in 27 cases. Patients with intravitreal gas tamponade exhibited a higher percentage of restoration of macular contour than those without (P = 0.016). Final BCVA was correlated with an intact photoreceptor inner segment–outer segment (IS–OS) junction (P = 0.03). The degree of visual improvement is less than that observed in idiopathic ERM patients.

Conclusion

In LMH secondary to ERM with significant visual decrease, ERM and ILM peeling may improve BCVA. Postoperative gas tamponade is associated with better restoration of macular configuration. Final BCVA is related to an intact photoreceptor IS–OS junction rather than to the normalization of the macular contour.

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Financial disclosures and conflicts of interest

The authors have no any financial interest in any materials or equipment used in the study.

No conflicting relationship exists for any authors.

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Authors and Affiliations

  1. Department of Ophthalmology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan

    Jen-Pin Sun

  2. Department of Ophthalmology, National Taiwan University Hospital, No. 7, Chung Shan South Road, Taipei, Taiwan

    Jen-Pin Sun, Chao-Wen Lin, Jehn-Yu Huang, Chung-May Yang, Muh-Shy Chen & Chang-Hao Yang

  3. Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan

    San-Ni Chen, Chih-Chun Chuang & Chun-Ju Lin

  4. School of Medicine, Chung-Shan Medical University, Taichung, Taiwan

    San-Ni Chen

  5. Department of Optometry, Chunghua University of Medical Technology, Tainan, Taiwan

    Chun-Ju Lin

  6. Department of Ophthalmology, Collage of Medicine, National Taiwan University, Taipei, Taiwan

    Chung-May Yang, Muh-Shy Chen & Chang-Hao Yang

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  1. Jen-Pin Sun
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  2. San-Ni Chen
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  3. Chih-Chun Chuang
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  9. Chang-Hao Yang
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Corresponding author

Correspondence to Chang-Hao Yang.

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Sun, JP., Chen, SN., Chuang, CC. et al. Surgical treatment of lamellar macular hole secondary to epiretinal membrane. Graefes Arch Clin Exp Ophthalmol 251, 2681–2688 (2013). https://doi.org/10.1007/s00417-013-2364-x

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  • DOI: https://doi.org/10.1007/s00417-013-2364-x

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