Lamellar macular holes: monitoring and management strategies

Marco Coassin, Tommaso Mori, Antonio Di Zazzo, Roberto Sgrulletta, Giuseppe Varacalli, Stefano BoniniDepartment of Ophthalmology, University Campus Bio-Medico of Rome, Rome, ItalyAbstract: Lamellar macular holes are a vitreoretinal condition characterized by abnormalities in foveal contour with spli...

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Autores principales:	Coassin M, Mori T, Di Zazzo A, Sgrulletta R, Varacalli G, Bonini S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Lamellar macular holes vitrectomy optical coherence tomography Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/6590115936e84d4ea3c402e8331be5fe
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spelling	oai:doaj.org-article:6590115936e84d4ea3c402e8331be5fe2021-12-02T07:07:45ZLamellar macular holes: monitoring and management strategies1177-5483https://doaj.org/article/6590115936e84d4ea3c402e8331be5fe2019-07-01T00:00:00Zhttps://www.dovepress.com/lamellar-macular-holes-monitoring-and-management-strategies-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Marco Coassin, Tommaso Mori, Antonio Di Zazzo, Roberto Sgrulletta, Giuseppe Varacalli, Stefano BoniniDepartment of Ophthalmology, University Campus Bio-Medico of Rome, Rome, ItalyAbstract: Lamellar macular holes are a vitreoretinal condition characterized by abnormalities in foveal contour with splitting of the neuroepithelium and often an intact photoreceptor layer. Recent developments in high-resolution imaging have increased our ability to study the details of the vitreoretinal interface and to distinguish between different forms of lamellar holes. A new classification is needed to help clinicians in the management of lamellar macular holes. Some clinicians prefer to observe these clinical entities, especially when visual acuity is maintained or alterations of the photoreceptor layer are present. Nevertheless, lamellar holes may sometimes progress, and visual acuity can deteriorate. On the other hand, surgical treatment may lead to positive anatomical and functional outcomes, but not without risks. This review provides a critical overview of the available data on lamellar macular holes, focusing on diagnosis and managing options.Keywords: degenerative lamellar hole, tractional lamellar hole, lamellar hole-associated epiretinal proliferation, epiretinal membrane, vitrectomy, macular surgeryCoassin MMori TDi Zazzo ASgrulletta RVaracalli GBonini SDove Medical PressarticleLamellar macular holesvitrectomyoptical coherence tomographyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1173-1182 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lamellar macular holes vitrectomy optical coherence tomography Ophthalmology RE1-994
spellingShingle	Lamellar macular holes vitrectomy optical coherence tomography Ophthalmology RE1-994 Coassin M Mori T Di Zazzo A Sgrulletta R Varacalli G Bonini S Lamellar macular holes: monitoring and management strategies
description	Marco Coassin, Tommaso Mori, Antonio Di Zazzo, Roberto Sgrulletta, Giuseppe Varacalli, Stefano BoniniDepartment of Ophthalmology, University Campus Bio-Medico of Rome, Rome, ItalyAbstract: Lamellar macular holes are a vitreoretinal condition characterized by abnormalities in foveal contour with splitting of the neuroepithelium and often an intact photoreceptor layer. Recent developments in high-resolution imaging have increased our ability to study the details of the vitreoretinal interface and to distinguish between different forms of lamellar holes. A new classification is needed to help clinicians in the management of lamellar macular holes. Some clinicians prefer to observe these clinical entities, especially when visual acuity is maintained or alterations of the photoreceptor layer are present. Nevertheless, lamellar holes may sometimes progress, and visual acuity can deteriorate. On the other hand, surgical treatment may lead to positive anatomical and functional outcomes, but not without risks. This review provides a critical overview of the available data on lamellar macular holes, focusing on diagnosis and managing options.Keywords: degenerative lamellar hole, tractional lamellar hole, lamellar hole-associated epiretinal proliferation, epiretinal membrane, vitrectomy, macular surgery
format	article
author	Coassin M Mori T Di Zazzo A Sgrulletta R Varacalli G Bonini S
author_facet	Coassin M Mori T Di Zazzo A Sgrulletta R Varacalli G Bonini S
author_sort	Coassin M
title	Lamellar macular holes: monitoring and management strategies
title_short	Lamellar macular holes: monitoring and management strategies
title_full	Lamellar macular holes: monitoring and management strategies
title_fullStr	Lamellar macular holes: monitoring and management strategies
title_full_unstemmed	Lamellar macular holes: monitoring and management strategies
title_sort	lamellar macular holes: monitoring and management strategies
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/6590115936e84d4ea3c402e8331be5fe
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_version_	1718399574413934592

Lamellar macular holes: monitoring and management strategies

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