Shiode Yusuke, Morizane Yuki, Takahashi Kosuke, Kimura Shuhei, Hosokawa Mio, Hirano Masayuki, Doi Shinichiro, Toshima Shinji, Hosogi Mika, Fujiwara Atsushi, Shiraga Fumio
Department of Ophthalmology, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine, 2-5-1 Shikata-cho Kita-ku, Okayama City, Okayama, 700-8558, Japan.
BMC Ophthalmol. 2018 Sep 24;18(1):257. doi: 10.1186/s12886-018-0926-8.
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.
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.
Embedding of the LHEP combined with ILM inversion may be an effective treatment for LMH with LHEP.
我们最近报道，伴有板层孔相关视网膜前增殖（LHEP）的板层黄斑裂孔（LMH）可通过将LHEP嵌入视网膜劈裂中来有效治疗，以改善黄斑中心凹轮廓和视力。在此，我们报告一例伴有LHEP的LMH病例，我们对其实施了LHEP嵌入联合内界膜（ILM）翻转术。然后，我们评估了该手术对黄斑形态和视觉功能的影响。
一名62岁男性因右眼视力障碍（20/29）和视物变形前来就诊。B超光学相干断层扫描（OCT）成像显示存在黄斑部部分厚度缺损伴退行性视网膜劈裂以及视网膜表面的LHEP。正面OCT成像显示无视网膜皱褶。我们实施了白内障超声乳化吸除联合人工晶状体植入术、玻璃体切除术、将LHEP嵌入视网膜劈裂以及ILM翻转术。术后3个月，黄斑中心凹轮廓和视力（20/20）均得到改善，视物变形减轻。
LHEP嵌入联合ILM翻转术可能是治疗伴有LHEP的LMH的有效方法。
