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    Distinction between lamellar holes and macular pseudoholes


    Secondary holes

    Dr. Thompson also described a subgroup of patients who have secondary lamellar macular holes. These same patients often have chronic diabetic macular edema or cystoid macular edema and they don’t tend to benefit from vitrectomy.

    Although studies of surgical results for the treatment of lamellar macular holes have been positive, the studies tend to be small and are not randomized, Dr. Thompson said.

    Dr. Thompson has a study pending publication that includes 64 eyes with lamellar macular holes in patients with decreasing visual acuity. The study will share the results from patients at both 3 months and 1 year.



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