Titre du document / Document title

Full-thickness macular hole formation in eyes with a pre-existing complete posterior vitreous detachment

Auteur(s) / Author(s)

GORDON L. W. ; GLASER B. M. ; IE D. ; THOMPSON J. T. ; SJAARDA R. N. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

Retina inst. Maryland, Baltimore MD 21204, ETATS-UNIS

Résumé / Abstract

Background : Tangential macular traction by the posterior vitreous cortex has been widely accepted as the major causative factor in the development of idiopathic macular holes. Separation of the posterior cortical vitreous should relieve this vitreoretinal traction. Methods : The authors report five patients with idiopathic full-thickness macular hole formation that occurred in the presence of a well-documented pre-existing complete posterior vitreous detachment. Results : Of five eyes, three underwent pars plana vitrectomy and instillation of transforming growth factor-beta. No residual prefoveal cortical vitreous was present at the retinal surface at the time of surgery. Additionally, clinically identifiable epiretinal membranes were present in three of five eyes, but these epiretinal membranes were extremely thin, transparent, induced minimal traction, and did not warrant surgical peeling. Conclusion : It is likely that, in these five patients, some mechanism other than tangential traction by prefoveal vitreous cortex is responsible for idiopathic full-thickness macular hole formation.

Revue / Journal Title

Ophthalmology   ISSN 0161-6420   CODEN OPHTDG 

Source / Source

1995, vol. 102, n^o11, pp. 1702-1705 (22 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1976) (Revue)

Mots-clés anglais / English Keywords

Unsticking ; Maculopathy ; Vitreous body ; Complication ; Diagnosis ; Risk factor ; Adult ; Case study ; Macular hole ; Posterior ; Retinopathy ; Eye disease ; Human ; Vitreous body disease ;

Mots-clés français / French Keywords

Décollement ; Maculopathie ; Corps vitré ; Complication ; Diagnostic ; Facteur risque ; Adulte ; Etude cas ; Trou maculaire ; Postérieur ; Rétinopathie ; Oeil pathologie ; Homme ; Corps vitré pathologie ;

Mots-clés espagnols / Spanish Keywords

Desprendimiento ; Maculopatía ; Cuerpo vidrioso ; Complicación ; Diagnóstico ; Factor riesgo ; Adulto ; Estudio caso ; Agujero macular ; Posterior ; Retinopatía ; Ojo patología ; Hombre ; Cuerpo vidrioso patología ;

Localisation / Location

INIST-CNRS, Cote INIST : 18914, 35400005892493.0220