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Case Reports
. 1994 Apr;101(4):682-6.
doi: 10.1016/s0161-6420(94)31278-4.

Clinicopathologic correlation of a macular hole treated by cortical vitreous peeling and gas tamponade

S A Madreperla  1 , G L Geiger, M Funata, Z de la Cruz, W R Green
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Free article
Case Reports

Clinicopathologic correlation of a macular hole treated by cortical vitreous peeling and gas tamponade

S A Madreperla et al. Ophthalmology. 1994 Apr.
Free article

Abstract

Purpose: To study the histopathology of a stage III macular hole that had been treated by vitrectomy with cortical vitreous and epicortical vitreous membrane peeling and gas tamponade.

Methods: The light and electron microscopic features of a treated macular hole were studied.

Results: A 16-microns-wide break was present in the external limiting membrane. This was sealed by Müller cell processes. Photoreceptors adjacent to the healed defect appeared normal. No cystoid macular edema was present.

Conclusion: Cortical vitreous peeling and gas tamponade can allow the macular hole to settle and the edges to re-approximate. The residual defect can be sealed by Müller cells.

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Comment in

  • Histopathology of macular holes.
    Loeffler KU, Lee WR. Loeffler KU, et al. Ophthalmology. 1995 Jan;102(1):1-2. doi: 10.1016/s0161-6420(95)31074-3. Ophthalmology. 1995. PMID: 7831022 No abstract available.

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