Macula lamellar hole
The macula is the centre of the retina
The macula is the name of the central area of the retina. A macular hole is a hole in this centre of the area, the fovea.
the fovea is the area of central retina
(yellow circle) enlarge
This is a half-thickness hole in the fovea. It causes distortion of central vision, or missing letters in word. An example would be missing the 'g' in 'age'. The cause in this cause is an epiretinal membrane BJO 2013. 80% of lamellar holes remain stable, 20% do deteriorate...surgery can be helpful in this group.
a lamellar macula hole due to an epiretinal membrane enlarge
- lamellar hole with and without erm Retina15
- erm Retina15
- lamellar holes are either degenerative (no surgery) or part of an ERM (epiretinal membrane: surgery may help some patients)
- If there is a signigicant epriretinal membrane (wrinkling of the retina) surgery to remove the membrane may help, but results are mixed IOVS 2011. But without surgery, sight deteriorates BJO 17
- surgery AJO 19
- vision depends on retinal damage Retina 19
- outcome of surgery better if a pseudohole Retina 19