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Retinal displacement after surgery for idiopathic macular hole
He-Cong Qin1, Fu-Qiang Li1, Si-Yan Jin1
1Department of Ophthalmology, the Second Hospital of Jilin University, Changchun 130000, Jilin Province, China.
International Journal of Ophthalmology
|August 19, 2024
Summary
Macular retinal displacement after idiopathic macular hole surgery, often caused by internal limiting membrane peeling, can impact visual function recovery. This subclinical phenomenon warrants attention for its potential effects on retinal anatomy and visual outcomes.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Macular Diseases
Background:
- Idiopathic macular holes (IMH) are a common cause of visual impairment.
- Surgical repair of IMH can lead to various postoperative complications.
- Macular retinal displacement is an emerging area of interest following IMH surgery.
Purpose of the Study:
- To review and summarize the mechanism hypothesis of macular retinal displacement.
- To identify factors influencing this displacement after IMH surgery.
- To discuss the potential consequences of postoperative macular displacement.
Main Methods:
- Literature search of PubMed and Web of Science databases.
- Inclusion of studies published before April 2023.
- Keywords: Retinal displacement, Idiopathic macular holes, Macular displacement.
Main Results:
- Internal limiting membrane (ILM) peeling is identified as a primary cause of macular displacement.
- The characteristics of the macular hole and the ILM peeling technique influence displacement.
- Displacement correlates with changes in macular thickness, cone outer segment tips line recovery, dissociated optic nerve fiber layer (DONFL) occurrence, and metamorphopsia.
Conclusions:
- Postoperative macular displacement is a subclinical phenomenon.
- Its clinical significance in affecting anatomical and functional recovery should not be underestimated.
