Role of OCT in Macular Holes with Clinical Case scenarios

International Journal of Medical Science
© 2020 by SSRG - IJMS Journal
Volume 7 Issue 11
Year of Publication : 2020
Authors : Dr. Manisha Nada, Dr. Manoj P Shettigar, Dr. Aakash Sharma, Dr. Parveen Chandna
How to Cite?

Dr. Manisha Nada, Dr. Manoj P Shettigar, Dr. Aakash Sharma, Dr. Parveen Chandna, "Role of OCT in Macular Holes with Clinical Case scenarios," SSRG International Journal of Medical Science, vol. 7,  no. 11, pp. 5-13, 2020. Crossref,


Purpose - To review OCT's available information helps characterize and prognosticate M.H. based on its morphology.
Design - Interpretive essay and case scenarios
Methods - Literature Review with interpretation and assessment. After taking a brief note of properly informed written consent and complete history. Patients will undergo complete ophthalmic examination including pupillary dilatation, measurement of intraocular pressure by tonometry, pinhole visual acuity, anterior segment examination, retinal examination with the indirect ophthalmoscope, best-corrected Snellen visual acuity, slit-lamp biomicroscopy, and Optical Coherence Tomography.
Conclusion - OCT (optical coherence tomography) has dramatically altered vitreoretinal diagnosis by enabling ophthalmologists to visualize and monitor the vitreomacular interface disorders with
Greater consistency and accuracy than ever before.


Optical coherence tomography, Vitreomacular interface, Macular hole, Full-Thickness Macular Hole, Lamellar Macular Hole, Internal Limiting Membrane.


[1] Takahashi A, Yoshida A, Nagaoka T, et al. Macular hole formation in fellow eyes with a perifoveal posterior vitreous detachment of patients with a unilateral macular hole. Am J Ophthalmol. 151(6) (2011) 981–9.
[2] Gass, JD. Muller Cell Cone, an Overlooked Part of the Anatomy of the Fovea Centralis: Hypotheses Concerning Its Role in the Pathogenesis of Macular Hole and Foveomacular Retinoschisis. Arch Ophthalmol.117 (1999) 821-3
[3] Gass, JD. Reappraisal of biomicroscopic classification of stages of development of a macular hole. Am J Ophthalmol 119(6) (1995) 752–9.
[4] Chan A, Duker JS, Schuman JS, Fujimoto JG. Stage 0 macular holes: observations by optical coherence tomography. Ophthalmology 111(11) (2004) 2027–32.
[5] Gaudric A, Haouchine B, Massin P, et al. Macular hole formation: new data provided by optical coherence tomography. Arch Ophthalmol 117(6) (1999) 744–51.
[6] Haouchine B, Massin P, Gaudric A. Foveal pseudocyst as the first step in macular hole formation: a prospective study by optical coherence tomography. Ophthalmology 108(1) (2001) 15–22.
[7] Duker JS, Kaiser PK, Binder S, et al. The international vitreomacular traction study group classification of vitreomacular adhesion, traction, and macular hole. Ophthalmology 120(12) (2013) 2611–19.
[8] Steel DH, Downey L, Greiner K.The design and validation of an optical coherence tomography-based classification system for focal vitreomacular traction. Eye.30(2) (2016) 314-25.
[9] Ch'ng SW, Patton N, Ahmed M, et al. The Manchester Large Macular Hole Study: Is it time to Reclassify Large Macular Holes?. Am J Ophthalmol.195 (2018) 36–42.
[10] Huang J, Liu X, Wu Z, et al. classification of full-thickness traumatic macular holes by optical coherence tomography. Retina.29(3) (2009) 340-8.
[11] Witkin AJ, Ko TH, Fujimoto JG, et al. Redefining lamellar holes and the vitreomacular interface: an ultrahigh-resolution optical coherence tomography study. Ophthalmology 113(3) (2006) 388–97.
[12] Gaudric A, Aloulou Y, Tadayoni R, et al. Macular pseudoholes with lamellar cleavage of their edge remain pseudoholes. Am J Ophthalmol 155(4) (2013) 733–42.
[13] Compera D, Entchev E, Haritoglou C, et al. Lamellar hole associated epiretinal proliferation compared to epiretinal membranes of macular pseudoholes. Am J Ophthalmol 160(2) (2015) 373–84
[14] Takahashi A, Nagaoka T, Yoshida A. STAGE 1-A macular hole: a prospective spectral-domain optical coherence tomography study. Retina 31(1) (2011) 127–47.
[15] Shin JY, Chu YK, Hong YT, Kwon OW, Byeon SH. Determination of macular hole size concerning individual variabilities of fovea morphology. Eye. 29(8) (2015) 1051–9
[16] Baba T, Yamamoto S, Arai M, Arai E, Sugawara T, Mitamura Y, Mizunoya S. Correlation of visual recovery and presence of photoreceptor inner/outer segment junction in optical coherence images after successful macular hole repair. Retina.28(3) (2008) 453-8.
[17] Ip MS, Baker BJ, Duker JS, et al. Anatomical surgery outcomes for idiopathic macular hole. Arch Ophthalmol,.120(1) (2002) 29–35.
[18] 18. Ruiz-Moreno JM, Staicu C, Piñero DP, Montero J, Lugo F, Amat P.Optical coherence tomography predictive factors for macular hole surgery outcome. Br J Ophthalmol 92(5) (2008) 640–4.
[19] 19. Pichi F, Alkabes M, Nucci P, Ciardella AP. Intraoperative SD-OCT in macular surgery. Ophthalmic Surgery, Lasers, and Imaging Retina. 43(6) (2012) 54-60
[20] 20. Mahmoud TH, BW MC 2nd. The natural history of foveolar lucencies observed by optical coherence tomography after macular hole surgery. Retina.27(1) (2007) 95-100.
[21] 21. Kang SW, Ahn K, Ham DI. Types of macular hole closure and their clinical implications. Br J Ophthalmol. 87(8) (2003) 1015-9
[22] 22. Imai M, Iijima H, Gotoh T, Tsukahara S. Optical coherence tomography of successfully repaired idiopathic macular holes. Am J Ophthalmol.128(5) (1999) 621-7.