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Related Experiment Video

Updated: Jun 4, 2025

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MACULAR HOLE WITH AN INTACT BACILLARY LAYER.

Yu-Teng Fu1,2, Chung-May Yang1,3, Tso-Ting Lai1,3

  • 1Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.

Retina (Philadelphia, Pa.)
|December 27, 2024
PubMed
Summary
This summary is machine-generated.

Macular holes (MH) can occur with an intact bacillary layer, even with retinal detachment. Surgical outcomes for these MH cases are comparable to typical cases, suggesting the bacillary layer

Keywords:
bacillary layerinternal limiting membranemacular holeretinal detachment

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Macular Diseases

Background:

  • Macular holes (MH) are a common retinal condition.
  • The role of the bacillary layer in MH formation and closure is not fully understood.
  • Previous studies have focused on MH with bacillary layer detachment.

Purpose of the Study:

  • To characterize clinical features of macular holes (MH) associated with an intact bacillary layer.
  • To evaluate surgical outcomes for MH with an intact bacillary layer, with or without rhegmatogenous retinal detachment.

Main Methods:

  • Retrospective analysis of 23 eyes with MH and an intact bacillary layer.
  • Inclusion criteria: MH with intact bacillary layer, with or without fovea-off rhegmatogenous retinal detachment.
  • Surgical interventions included vitrectomy, internal limiting membrane peeling, and intravitreal gas injection (C3F8).

Main Results:

  • 11 eyes had MH only; 12 had concurrent fovea-off rhegmatogenous retinal detachment.
  • High myopia was present in 43.5% of eyes.
  • Macular hole closure rates were high (90.9%-100%) in both groups after surgery, with significant visual improvement.

Conclusions:

  • An intact bacillary layer is observed in MH, irrespective of concurrent rhegmatogenous retinal detachment.
  • Surgical results for MH with an intact bacillary layer are similar to typical MH cases.
  • Internal limiting membrane flap consideration is advised for large MHs or highly myopic eyes.