Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery

A macular hole (MH), particularly an idiopathic macular hole (IMH), is a common cause of central vision loss. Risk factors for nonidiopathic MH include high myopia, cystoid macular edema, inflammation, and trauma. MH is primarily diagnosed using slit-lamp microscopy and optical coherence tomography...

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Main Authors: Yutong Li, Siyan Jin, Lijun Shi, Hecong Qin, Jinsong Zhao
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/7861180
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author Yutong Li
Siyan Jin
Lijun Shi
Hecong Qin
Jinsong Zhao
author_facet Yutong Li
Siyan Jin
Lijun Shi
Hecong Qin
Jinsong Zhao
author_sort Yutong Li
collection DOAJ
description A macular hole (MH), particularly an idiopathic macular hole (IMH), is a common cause of central vision loss. Risk factors for nonidiopathic MH include high myopia, cystoid macular edema, inflammation, and trauma. MH is primarily diagnosed using slit-lamp microscopy and optical coherence tomography (OCT). Half of the patients with stage I MHs are treated conservatively and may show spontaneous resolution. The main treatment methods for MHs currently include vitrectomy and stripping of the internal limiting membrane (ILM). However, in some patients, surgery does not lead to anatomical closure. In this review, we summarize the factors influencing the anatomical closure of MHs and analyze the potential underlying mechanisms.
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institution Kabale University
issn 2090-0058
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-d3c5fc3a564b461daa9acf563c5eff892025-02-03T05:43:34ZengWileyJournal of Ophthalmology2090-00582021-01-01202110.1155/2021/7861180Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole SurgeryYutong Li0Siyan Jin1Lijun Shi2Hecong Qin3Jinsong Zhao4Department of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyA macular hole (MH), particularly an idiopathic macular hole (IMH), is a common cause of central vision loss. Risk factors for nonidiopathic MH include high myopia, cystoid macular edema, inflammation, and trauma. MH is primarily diagnosed using slit-lamp microscopy and optical coherence tomography (OCT). Half of the patients with stage I MHs are treated conservatively and may show spontaneous resolution. The main treatment methods for MHs currently include vitrectomy and stripping of the internal limiting membrane (ILM). However, in some patients, surgery does not lead to anatomical closure. In this review, we summarize the factors influencing the anatomical closure of MHs and analyze the potential underlying mechanisms.http://dx.doi.org/10.1155/2021/7861180
spellingShingle Yutong Li
Siyan Jin
Lijun Shi
Hecong Qin
Jinsong Zhao
Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery
Journal of Ophthalmology
title Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery
title_full Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery
title_fullStr Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery
title_full_unstemmed Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery
title_short Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery
title_sort factors associated with anatomic failure and hole reopening after macular hole surgery
url http://dx.doi.org/10.1155/2021/7861180
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AT siyanjin factorsassociatedwithanatomicfailureandholereopeningaftermacularholesurgery
AT lijunshi factorsassociatedwithanatomicfailureandholereopeningaftermacularholesurgery
AT hecongqin factorsassociatedwithanatomicfailureandholereopeningaftermacularholesurgery
AT jinsongzhao factorsassociatedwithanatomicfailureandholereopeningaftermacularholesurgery