DR. HENAL JAVERI

DR. RAJESH RAMANJULU, DR. MAHESH P. SHANMUGAM, DR. DIVYANSH MISHRA

Abstract

Purpose: Lamellar macular hole associated epiretinal proliferation (LHEP) is a thick homogenous material of medium reflectivity on the retinal surface, contiguous with the middle retinal layers. These eyes are characterised by poorer BCVA in comparison to LMH with ERM alone.We analysed the anatomical and visual outcomes in patients with LHEP post vitrectomy. Methods: Five eyes with LHEP underwent 23G Vitrectomy with epiretinal membrane and internal limiting membrane peeling. Anatomical outcome measured was restoration of ellipsoid zone and visual outcome was improvement in BCVA.Results: 5 eyes were included.In all eyes, there was ellipsoid zone disruption at baseline, that was restored post surgery. The mean BCVA improved from 0.6 LogMAR preoperatively, to 0.18 LogMAR post operatively.Conclusion: Good anatomical and visual outcomes are possible in LHEP post surgery in most cases. However, pre-operative identification and counselling is important to avoid intra-operative surprises