Service d'Ophtalmologie, Hôpital Lariboisière APHP, Université Paris Diderot, Paris, France.
Am J Ophthalmol. 2013 Apr;155(4):733-42, 742.e1-4. doi: 10.1016/j.ajo.2012.10.021. Epub 2013 Jan 9.
To reappraise macular pseudohole characteristics using spectral-domain optical coherence tomography (OCT) and characteristics and postoperative outcomes of macular pseudoholes.
Retrospective, observational case series.
In this institutional study, 54 eyes with macular pseudohole were selected among 369 patients examined for an epiretinal membrane (ERM) by Cirrus spectral-domain OCT (Carl Zeiss Meditec) within a 2-year period. The diagnosis of macular pseudohole was based on the presence of a deep foveal pit, with verticalized edges and a macula thickened by the contraction of an ERM. All eyes underwent color fundus photography and spectral-domain OCT examination comprising a macular map, line raster scans, and en face images of the inner retinal surface. The main outcome measures were the morphologic description of the foveal profile in macular pseudoholes in relation to the pattern of the ERM contraction and the postoperative changes.
In 24 eyes, the foveal pit had vertical, straight, smooth edges on the OCT scan corresponding to centripetal contraction of the ERM. Thirty other eyes exhibited some degree of stretching and cleavage of the foveal pit edge resulting from asymmetrical tangential traction of the ERM between multiple epicenters of contraction. Thirty-three patients underwent surgery, and their macular profile and visual acuity improved whatever their initial foveal profile.
The OCT profile of macular pseudohole varies according to the pattern of the causal ERM contraction. Macular pseudoholes with a stretched foveal edge respond to ERM peeling as positively as other eyes and should not be confounded with macular lamellar holes.
使用频域光相干断层扫描（OCT）重新评估黄斑假性裂孔的特征以及黄斑假性裂孔的特征和术后结果。
回顾性、观察性病例系列。
在这项机构研究中，在 2 年内，通过 Cirrus 频域 OCT（卡尔蔡司医学技术公司）对 369 例接受外膜切除术（ERM）检查的患者中选择了 54 只黄斑假性裂孔眼。黄斑假性裂孔的诊断基于存在深凹，边缘垂直化，ERM 收缩导致黄斑增厚。所有眼睛均接受眼底彩色摄影和频域 OCT 检查，包括黄斑地图、线扫和内视网膜表面的正面图像。主要观察指标为黄斑假性裂孔在与 ERM 收缩模式相关的黄斑凹轮廓的形态描述以及术后变化。
在 24 只眼中，OCT 扫描中凹窝的边缘垂直、笔直、光滑，对应于 ERM 的向心性收缩。其他 30 只眼睛显示出一定程度的拉伸和凹窝边缘的分裂，这是由于 ERM 在多个收缩中心点之间的不对称切线牵引力。33 名患者接受了手术，无论其初始黄斑凹轮廓如何，他们的黄斑轮廓和视力均有所改善。
黄斑假性裂孔的 OCT 轮廓根据因果 ERM 收缩的模式而变化。具有拉伸的凹窝边缘的黄斑假性裂孔对 ERM 剥离的反应与其他眼睛一样积极，不应与黄斑板层裂孔混淆。
