Asaad Salim Zafar
Department of Ophthalmology, Burjeel Speciality Hospital, Al Kuwaiti street, Al Fayha, Sharjah, United Arab Emirates.
Int J Retina Vitreous. 2020 Sep 29;6:45. doi: 10.1186/s40942-020-00252-x. eCollection 2020.
Currently the term lamellar macular hole (LMH) alludes to a wide spectrum of macular conditions including distinct clinical entities with different pathomorphologies. Classifications into subtypes, tractional and degenerative or based on the associated preretinal tissue had been proposed. Recent insights suggest that only lesions with tissue loss should be considered 'true' LMH and not those morphological changes caused by tractional forces. Inclusion of lesions with foveoschisis with contractile epiretinal membrane (ERM) in earlier studies on LMHs has resulted in imprecise information about its clinical course. This review provides an overview of the evolving concepts of LMHs and analyses its natural history from study cases in previously published literature.
目前，板层黄斑裂孔（LMH）这一术语涵盖了广泛的黄斑病变，包括具有不同病理形态的不同临床实体。已经有人提出了根据视网膜前组织进行分类，分为牵引性和退行性亚型或其他分类方式。最近的见解表明，只有伴有组织缺失的病变才应被视为“真正的”LMH，而不是由牵引力引起的形态学改变。在早期关于LMH的研究中，将伴有收缩性视网膜前膜（ERM）的黄斑劈裂病变纳入其中，导致了关于其临床病程的不精确信息。本综述概述了LMH概念的演变，并根据先前发表文献中的研究病例分析了其自然病程。
