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Displacement of fovea toward optic disk after macular hole surgery with internal limiting membrane peeling

Authors Ohta K, Sato A, Senda N, Fukui E

Received 9 August 2017

Accepted for publication 14 September 2017

Published 16 October 2017 Volume 2017:10 Pages 345—348


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Kouichi Ohta, Atsuko Sato, Nami Senda, Emi Fukui

Department of Ophthalmology, Matsumoto Dental University, Shiojiri, Nagano, Japan

Purpose: The purpose of this study was to demonstrate a displacement of the foveal depression toward the optic disk after idiopathic macular hole (MH) surgery with internal limiting membrane (ILM) peeling.
Methods: Two patients with a unilateral MH developed an MH in the fellow eyes. Vitrectomy with ILM peeling was performed on the fellow eye to close the MH. Images of spectral-domain optical coherence tomography (SD-OCT) were used to measure the disk-to-fovea distances pre MH formation, after MH formation, and 6 months after the closure of the MH.
Results: The disk-to-fovea distance was shorter at 6 months than after the development of the MH (4,109 µm and 4,174 µm in Case 1 and 4,001 µm and 4,051 µm in Case 2).
Conclusion: These results indicate that the fovea moves nasally after the MH surgery with ILM peeling.

Keywords: idiopathic macular hole, internal limiting membrane, optical coherence tomography, pars plana vitrectomy

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