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עמוד בית
Sun, 14.07.24

Original Articles

IMAJ | volume 17

Journal 12, December 2015
pages: 750-754

Lamellar Macular Holes Associated with End-stage Exudative Age-Related Macular Degeneration

    Summary

     

    Background:

    Reports of lamellar macular holes (LMHs) with underlying age-related macular degeneration (AMD) are rare and the specific definition, pathogenesis, and surgical recommendations for this macular condition remain unclear.

    Objectives:

    To present a series of LMHs in eyes with underlying end-stage AMD, and describe optical coherence tomography (OCT) detection of associated morphologic abnormalities.

    Methods:

    We reviewed the files of consecutive patients diagnosed with LMH and underlying end-stage AMD between September 2007 and September 2011. 

    Results:

    Sixteen eyes of 14 patients were included in this study. The average follow-up after the OCT-established diagnosis of LMH was 19.8 months (range 4–48). The average visual acuity (VA) at last follow-up visit was 20/400 (20/60–20/1200). The best-corrected VA was stable in 10 eyes (62.5%) and deteriorated in 6 (37.5%). There was a statistically significant correlation between VA and minimal foveal thickness (r = -0.598, P = 0.014).

    Conclusions:

    In this series of LMHs with underlying AMD the OCT findings were intraretinal fluid, cystic spaces and window defect.

     

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