Foveal anatomic changes in a progressing stage 1 macular hole documented by spectral-domain optical coherence tomography

Ophthalmology
Atsushi TakahashiAkitoshi Yoshida

Abstract

To report the case of a stage 1 macular hole and the sequential intrafoveal changes with spectral-domain optical coherence tomography (SD-OCT). Single, observational case report. A 51-year-old woman with a stage 1A macular hole that progressed to a stage 2 macular hole. Clinical ophthalmologic examinations were repeated, including SD-OCT, during follow-up at intervals of several weeks. Sequential intrafoveal tomographic alterations in a patient with a stage 1 macular hole. Foveal splits in the inner retina progressed to an enlarged pseudocyst that disrupted the outer retinal layer (ORL) resulting from the vitreous traction associated with a perifoveal posterior vitreous detachment (PPVD). The patient was referred for decreased vision in the left eye. Her best-corrected visual acuity was 20/32 in the left eye. The SD-OCT showed intrafoveal splits of a typical stage 1A macular hole with a PPVD. Two weeks later, a small, triangularly shaped foveal detachment was detected beneath the central fovea. Four weeks after the initial visit, the splits expanded and the foveal surface was elevated anteriorly; a columnar structure between the splits beneath the central fovea was seen. Eight weeks after the initial visit, the columnar structu...Continue Reading

Citations

Sep 28, 2013·Journal of Diabetes Research·Tomoaki Murakami, Nagahisa Yoshimura
Apr 2, 2013·American Journal of Ophthalmology·Kazuyuki KumagaiNobuchika Ogino
Jun 3, 2015·Retinal Cases & Brief Reports·Atsushi TakahashiAkitoshi Yoshida
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Feb 13, 2015·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Wai H WoonFiona Bishop
Apr 10, 2015·Retina·Ian Y WongRobert W Wong
Sep 10, 2015·International Ophthalmology·Atsushi TakahashiAkitoshi Yoshida
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Jun 21, 2014·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Sung Who ParkBoo Sup Oum
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Dec 11, 2020·Experimental Eye Research·Andreas BringmannPeter Wiedemann

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