• linkedin
  • Increase Font
  • Sharebar

    Distinction between lamellar holes and macular pseudoholes


    Differences outlined

    Dr. Thompson detailed additional differences between lamellar macular holes and macular pseudoholes.

    “Spectral-domain OCT is required to diagnose lamellar macular holes,” Dr. Thompson said. “They are characterized as having an abnormally steep foveal contour.

    “Almost all are associated with epiretinal membrane (ERM),” he added. “The central fovea may be thick, normal, or thin. Macular pseudoholes are a biomicroscopy diagnosis, and there may or may not be a lamellar hole.”

    Most lamellar holes do not require treatment. “Visual acuity, especially if it’s decreasing, should be the primary determinant of whether or not to offer surgery,” Dr. Thompson said.

    Eyes with prominent ERM may require surgery because they tend to have less favorable results if they are not treated.

    “The most helpful thing in predicting surgical outcome is the continuity of the ELM/ellipsoid layer,” Dr. Thompson concluded. “If they have poor continuity, they are less likely to benefit from surgery.”

    John T. Thompson MD

    e. [email protected]

    This article was adapted from a presentation that Dr. Thompson delivered at the Retina Subspecialty Day held prior to the 2017 American Academy of Ophthalmology meeting. Dr. Thompson has no disclosures relevant to his talk.


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Latest Tweets Follow

    var script= ' ';