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Hideaki Hashimoto, Yukitoshi Shimoda, Shoji Kishi; Spectral-domain Optical Coherence Tomography Of Early Stage 1 Macular Hole. Invest. Ophthalmol. Vis. Sci. 2012;53(14):5217.
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© ARVO (1962-2015); The Authors (2016-present)
We report the morphological changes of early stage 1 macular hole using spectral-domain optical coherence tomography (SD-OCT).
A retrospective comparative study was performed on 3 consecutive eyes of 3 female patients with early stage 1 macular hole. We examined best corrected visual acuity (BCVA), biomicroscopy and SD-OCT at each visits.
The median patient age was 57 years, with a range of 52 to 61 years. At first visit, SD-OCT showed the perifoveal posterior vitreous detachment with vitreofoveal adhesion with a small triangular foveolar detachment and tiny elevation of external limiting membrane (ELM) and the junction of photoreceptor innner and outer segment (IS/OS) in 3 cases.Case 1 developed inner retinal splits and pseudocyst at the fovea. After 33 months, retinal changes resolved though vitreofoveal adhesion remained. Case 2 showed vitreofoveal adhesion with a small triangular foveolar detachment and elevated ELM and IS/OS. After 22 months, vitreofoveal adhesion was spontaneously released and retinal change resolved. Case 3 showed the foveal splits, which progressed to stage 2 macular hole. After 11 weeks, vitreofoveal adhesion was released and macular hole was closed.
SD-OCT revealed triangular elevation of ELM and IS/OS in early stage 1 macular hole. Vitreous traction seems to transmit to ELM through Muller cell cone.
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