Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography
We report the case of a 69-year-old patient who underwent vitrectomy for vitreomacular traction (VMT) and developed a postoperative macular hole that was observed 1 week after surgery. The hole did not close by in-office fluid-gas exchange alone, but was achieved after repeat surgery with internal l...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2016-07-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/446980 |
| _version_ | 1818174124918308864 |
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| author | Elad Moisseiev Glenn Yiu |
| author_facet | Elad Moisseiev Glenn Yiu |
| author_sort | Elad Moisseiev |
| collection | DOAJ |
| description | We report the case of a 69-year-old patient who underwent vitrectomy for vitreomacular traction (VMT) and developed a postoperative macular hole that was observed 1 week after surgery. The hole did not close by in-office fluid-gas exchange alone, but was achieved after repeat surgery with internal limiting membrane (ILM) peeling. Intraoperative OCT (iOCT) images from the first surgery revealed an occult macular hole that formed after VMT release. We discuss how iOCT findings provide insight into the role of the ILM in macular hole formation and emphasize the importance of carefully inspecting iOCT images in real time to avoid missing small but important findings. |
| first_indexed | 2024-12-11T19:39:25Z |
| format | Article |
| id | doaj.art-344b114eae614847998fc353aa0ba3c8 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-11T19:39:25Z |
| publishDate | 2016-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-344b114eae614847998fc353aa0ba3c82022-12-22T00:53:03ZengKarger PublishersCase Reports in Ophthalmology1663-26992016-07-017237237610.1159/000446980446980Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence TomographyElad MoisseievGlenn YiuWe report the case of a 69-year-old patient who underwent vitrectomy for vitreomacular traction (VMT) and developed a postoperative macular hole that was observed 1 week after surgery. The hole did not close by in-office fluid-gas exchange alone, but was achieved after repeat surgery with internal limiting membrane (ILM) peeling. Intraoperative OCT (iOCT) images from the first surgery revealed an occult macular hole that formed after VMT release. We discuss how iOCT findings provide insight into the role of the ILM in macular hole formation and emphasize the importance of carefully inspecting iOCT images in real time to avoid missing small but important findings.http://www.karger.com/Article/FullText/446980Optical coherence tomographyVitreomacular tractionMacular holeInternal limiting membrane |
| spellingShingle | Elad Moisseiev Glenn Yiu Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography Case Reports in Ophthalmology Optical coherence tomography Vitreomacular traction Macular hole Internal limiting membrane |
| title | Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography |
| title_full | Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography |
| title_fullStr | Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography |
| title_full_unstemmed | Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography |
| title_short | Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography |
| title_sort | role of tractional forces and internal limiting membrane in macular hole formation insights from intraoperative optical coherence tomography |
| topic | Optical coherence tomography Vitreomacular traction Macular hole Internal limiting membrane |
| url | http://www.karger.com/Article/FullText/446980 |
| work_keys_str_mv | AT eladmoisseiev roleoftractionalforcesandinternallimitingmembraneinmacularholeformationinsightsfromintraoperativeopticalcoherencetomography AT glennyiu roleoftractionalforcesandinternallimitingmembraneinmacularholeformationinsightsfromintraoperativeopticalcoherencetomography |