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Julian Klaas, Christiane Frank, Melanie Weschta, Nikolaus Feucht, Christos Haritoglou, Chris Patrick Lohmann, Mathias Maier; The vitreoretinal interface in eyes with macular hole or macular pucker – how often do we find a vitreopapillary adhesion? An SD-OCT-based morphological study. Invest. Ophthalmol. Vis. Sci. 2018;59(9):5274.
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To evaluate the vitreoretinal interface (VRI) for the existence of a vitreopapillary adhesion (VPA) in the context of full thickness macular hole (FTMH) or macular pucker (ERM) formation.
The VRI of 148 patients with FTMH and/or ERM was reviewed for the presence of a concomitant vitreopapillary adhesion (VPA). Our study compromised 34 eyes with FTMH+VMT, 54 eyes with FTMH with complete resolution of VMT and 60 eyes with ERM only. We accurately documented FTMH size, eccentric vitreoretinal adhesions and the PVD status.
Of 34 eyes with FTMH+VMT, all eyes (100 %) showed a VPA. Of 54 eyes with isolated FTMH, 32 eyes (59,26%) showed evidence of VPA. However, if an operculum was detected in the SD-OCT-scans of these eyes(FTMH+OP), 21 of 22 eyes (95,94%) revealed VPA. Of 60 eyes with ERM, only 5 eyes (8,33 %) showed evidence of VPA.
Eccentric, circularly-arranged vitreoretinal adhesions and their vectors of force have been assumedto be possible contributing factors concerning morphology, tractive pathogenesis and progression of full thickness macular hole formation. Our SD-OCT-based retrospective review showed that eyes with FTMH very frequently display VPA. In contrast, VPA can be rarely seen in eyes with ERM.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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