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Lamellar macular hole surgery – current concepts, future prospects

Authors Haritoglou C, Tadayoni R, Hubschman JP

Received 21 September 2018

Accepted for publication 16 November 2018

Published 8 January 2019 Volume 2019:13 Pages 143—146

DOI https://doi.org/10.2147/OPTH.S188309

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Christos Haritoglou,1 Ramin Tadayoni,2 Jean-Pierre Hubschman3

1Herzog Carl Theodor Eye Clinic, Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany; 2Department of Ophthalmology, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, University Sorbonne Paris Cité, Paris, France; 3Retina Division, Stein Eye Institute, University of California Los Angeles, Los Angeles, CA, USA

Abstract:
Lamellar macular holes present distinct morphological features including tractional or non-tractional epimacular membranes, foveal tissue alterations, defects of the outer retinal layers, or a separation of the retinal layers. At present, degenerative lamellar holes are differentiated from tractional holes based on the morphological characteristics seen in OCT. The current treatment approach is based on this gross differentiation. Considering the recent developments in high-resolution imaging, this classification needs to be revisited since morphological features may present simultaneously, making it difficult to separate these entities. In addition, a revisited classification may be of value to better standardize the indication for surgical treatment.

Keywords: lamellar macular hole, degenerative lamellar hole, tractional lamellar hole, outer retina, lamellar macular hole-associated epimacular proliferation, LHEP

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