Coexistence of Peripheral Retinal Diseases with Macular Hole

Turk J Ophthalmol. 2019 Sep 3;49(4):209-212. doi: 10.4274/tjo.galenos.2019.06706.

Abstract

Objectives: To investigate the frequency of retinal tear, retinal hole, and lattice degeneration in peripheral retinal examination of patients with macular hole.

Materials and methods: The files of patients who underwent pars plana vitrectomy surgery with a diagnosis of macular hole at Eskişehir Osmangazi University Department of Ophthalmology between 2008 and 2018 were retrospectively analyzed. A total of 106 patients with primary macular hole who underwent peripheral retinal examination were included in the study. The frequency of retinal tears, holes, and lattice degeneration associated with macular hole was investigated.

Results: Peripheral retinal examination of 106 patients who underwent macular hole surgery revealed retinal tear in 3 patients (2.8%), retinal hole in 4 patients (3.8%), and lattice degeneration in 10 patients (9.4%). Retinal hole and lattice degeneration were observed concomitantly in 1 patient.

Conclusion: This study showed that patients with macular hole have concomitant retinal tears and holes, which are also thought to arise due to vitreoretinal traction, at a frequency similar to that in the general population. This result suggests that both the anterior and posterior vitreous may have different pathologies at the same time related to these diseases.

Keywords: Macular hole; retinal tear; retinal hole; lattice degeneration.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Retinal Degeneration / epidemiology*
  • Retinal Detachment / epidemiology*
  • Retinal Perforations / complications*
  • Retinal Perforations / epidemiology
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Visual Acuity
  • Vitreous Body / pathology