Cargando…
Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient
Purpose. Pathophysiology of macular hole (MH) is not yet well defined but the advances of spectral domain optical coherence tomography (SD-OCT) give us access to further detailed imaging. We report a case with macular inner segment ellipsoid (ISe) band loss and cone outer segment tips (COST) line ch...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4273506/ https://www.ncbi.nlm.nih.gov/pubmed/25548697 http://dx.doi.org/10.1155/2014/132565 |
_version_ | 1782349848139268096 |
---|---|
author | Harasawa, Mariana Quiroz-Mercado, Hugo Salcedo-Villanueva, Guillermo Garcia-Aguirre, Gerardo Schwartz, Shulamit |
author_facet | Harasawa, Mariana Quiroz-Mercado, Hugo Salcedo-Villanueva, Guillermo Garcia-Aguirre, Gerardo Schwartz, Shulamit |
author_sort | Harasawa, Mariana |
collection | PubMed |
description | Purpose. Pathophysiology of macular hole (MH) is not yet well defined but the advances of spectral domain optical coherence tomography (SD-OCT) give us access to further detailed imaging. We report a case with macular inner segment ellipsoid (ISe) band loss and cone outer segment tips (COST) line changes seen in SD-OCT preceding MH appearance in a young patient. Methods. 21-year-old woman presented with a partial central scotoma, metamorphopsia, and a 20/25 vision in her right eye. Past medical history was positive for laser assisted in situ keratomileusis (LASIK) surgery 7 months ago with no complications. Macular SD-OCT showed ISe band loss and COST line elevation. She was followed a month later with visual acuity deteriorating to 20/200 and a full thickness MH. Results. The patient underwent a pars plana vitrectomy with internal limiting membrane peeling. Her visual acuity 2 months later was 20/20. Conclusion. SD-OCT can identify preliminary changes, yet to be described, preceding MH formation. Our patient demonstrated ISe band loss and COST abnormalities on SD-OCT a month prior to MH development. SD-OCT should be considered in young patients with subtle visual symptoms and mild changes in visual acuity that are not readily explained by ophthalmological exam. |
format | Online Article Text |
id | pubmed-4273506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-42735062014-12-29 Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient Harasawa, Mariana Quiroz-Mercado, Hugo Salcedo-Villanueva, Guillermo Garcia-Aguirre, Gerardo Schwartz, Shulamit Case Rep Ophthalmol Med Case Report Purpose. Pathophysiology of macular hole (MH) is not yet well defined but the advances of spectral domain optical coherence tomography (SD-OCT) give us access to further detailed imaging. We report a case with macular inner segment ellipsoid (ISe) band loss and cone outer segment tips (COST) line changes seen in SD-OCT preceding MH appearance in a young patient. Methods. 21-year-old woman presented with a partial central scotoma, metamorphopsia, and a 20/25 vision in her right eye. Past medical history was positive for laser assisted in situ keratomileusis (LASIK) surgery 7 months ago with no complications. Macular SD-OCT showed ISe band loss and COST line elevation. She was followed a month later with visual acuity deteriorating to 20/200 and a full thickness MH. Results. The patient underwent a pars plana vitrectomy with internal limiting membrane peeling. Her visual acuity 2 months later was 20/20. Conclusion. SD-OCT can identify preliminary changes, yet to be described, preceding MH formation. Our patient demonstrated ISe band loss and COST abnormalities on SD-OCT a month prior to MH development. SD-OCT should be considered in young patients with subtle visual symptoms and mild changes in visual acuity that are not readily explained by ophthalmological exam. Hindawi Publishing Corporation 2014 2014-12-04 /pmc/articles/PMC4273506/ /pubmed/25548697 http://dx.doi.org/10.1155/2014/132565 Text en Copyright © 2014 Mariana Harasawa et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Harasawa, Mariana Quiroz-Mercado, Hugo Salcedo-Villanueva, Guillermo Garcia-Aguirre, Gerardo Schwartz, Shulamit Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient |
title | Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient |
title_full | Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient |
title_fullStr | Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient |
title_full_unstemmed | Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient |
title_short | Inner Segment Ellipsoid Band and Cone Outer Segment Tips Changes Preceding Macular Hole Development in a Young Patient |
title_sort | inner segment ellipsoid band and cone outer segment tips changes preceding macular hole development in a young patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4273506/ https://www.ncbi.nlm.nih.gov/pubmed/25548697 http://dx.doi.org/10.1155/2014/132565 |
work_keys_str_mv | AT harasawamariana innersegmentellipsoidbandandconeoutersegmenttipschangesprecedingmacularholedevelopmentinayoungpatient AT quirozmercadohugo innersegmentellipsoidbandandconeoutersegmenttipschangesprecedingmacularholedevelopmentinayoungpatient AT salcedovillanuevaguillermo innersegmentellipsoidbandandconeoutersegmenttipschangesprecedingmacularholedevelopmentinayoungpatient AT garciaaguirregerardo innersegmentellipsoidbandandconeoutersegmenttipschangesprecedingmacularholedevelopmentinayoungpatient AT schwartzshulamit innersegmentellipsoidbandandconeoutersegmenttipschangesprecedingmacularholedevelopmentinayoungpatient |