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Optical coherence tomography-based consensus definition for lamellar macular hole.
Jean Pierre Hubschman1, Andrea Govetto2, Richard F Spaide3
1Jules Stein Eye Institute, University of California, Los Angeles, Los Angeles, California, USA jphubschman@gmail.com.
The British Journal of Ophthalmology
|February 29, 2020
Summary
Consensus was reached on definitions for lamellar macular hole (LMH), epiretinal membrane (ERM) foveoschisis, and macular pseudohole (MPH) using optical coherence tomography. These standardized definitions aim to improve clinical communication and research consistency.
Area of Science:
- Ophthalmology
- Medical Imaging
- Retinal Diseases
Background:
- A clear, consensus-based definition for lamellar macular hole (LMH) and related conditions is currently lacking.
- Standardized definitions are crucial for consistent diagnosis and research in retinal imaging.
Purpose of the Study:
- To establish consensus definitions for lamellar macular hole (LMH), epiretinal membrane (ERM) foveoschisis, and macular pseudohole (MPH).
- To differentiate these conditions using optical coherence tomography (OCT) criteria.
Main Methods:
- A panel reviewed peer-reviewed literature on optical coherence tomography (OCT) findings.
- Consensus definitions were developed based on mandatory and optional anatomical features observed via OCT.
Main Results:
- Consensus definitions were established for LMH, ERM foveoschisis, and MPH.
- LMH definition includes irregular foveal contour, foveal cavity with undermined edges, and apparent tissue loss.
- ERM foveoschisis and MPH definitions incorporate specific OCT criteria related to epiretinal membranes, schisis, and foveal morphology.
Conclusions:
- The proposed definitions provide a uniform language for clinicians diagnosing macular conditions.
- Standardized definitions are expected to enhance the quality and consistency of future research in retinal diseases.
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