Asaad Salim Zafar
Burjeel Speciality Hospital, Sharjah, United Arab Emirates.
Case Rep Ophthalmol. 2021 Apr 12;12(1):134-141. doi: 10.1159/000514526. eCollection 2021 Jan-Apr.
Foveoschisis in association with contractile epiretinal membrane is frequently misdiagnosed as lamellar macular hole (LMH). The progression of true LMH with associated epiretinal proliferation to full-thickness macular hole (FTMH) is probably underestimated. We report a case of bilateral FTMH progressing from LMH with epiretinal proliferation. A 72-year-old male presented with increased blurring of vision in left eye. Visual acuity was 20/40 in right and 20/50 in left eye. Examination showed FTMH with epiretinal proliferation in left eye and LMH with epiretinal proliferation in right eye. Surgery of the left eye achieved successful closure of macular hole with improvement in vision. He presented again a month later with further deterioration of vision in right eye. Examination revealed FTMH in right eye with epiretinal proliferation. Surgery of the right eye also achieved optimum functional and morphological results. This case demonstrates that LMH with epiretinal proliferation may have a propensity to progress to FTMH.
伴有收缩性视网膜前膜的黄斑劈裂常被误诊为板层黄斑裂孔（LMH）。真正的LMH伴有视网膜前增殖进展为全层黄斑裂孔（FTMH）的情况可能被低估了。我们报告一例双侧FTMH由伴有视网膜前增殖的LMH进展而来的病例。一名72岁男性，左眼视力模糊加重。右眼视力为20/40，左眼视力为20/50。检查发现左眼为伴有视网膜前增殖的FTMH，右眼为伴有视网膜前增殖的LMH。左眼手术成功封闭黄斑裂孔，视力改善。一个月后他再次就诊，右眼视力进一步恶化。检查发现右眼为伴有视网膜前增殖的FTMH。右眼手术也取得了最佳的功能和形态学结果。该病例表明，伴有视网膜前增殖的LMH可能有进展为FTMH的倾向。
