{"title":"Degenerative lamellar foramen post drusenoid detachment of the retinal pigment epithelium","authors":"C.M. Ortega , D. Pratto","doi":"10.1016/j.oftale.2025.01.005","DOIUrl":null,"url":null,"abstract":"<div><div>The macular hole is a prevalent pathology whose types and causes are due to various reasons. Sometimes it can coexist with other diseases such as age-related macular degeneration. Its pathophysiological basis may have a common relationship with the degenerative lamellar foramen. Optical coherence tomography plays a fundamental role in understanding its genesis.</div><div>In this work, we present the case of a 60-year-old patient with age-related macular degeneration, who consults due to decreased visual acuity in the left eye. The ophthalmological examination revealed a drusenoid detachment of the retinal pigment epithelium in the foveal area, visible by optical coherence tomography, in addition to multiple drusen in both eyes.</div><div>Image follow-up showed regression of the detachment at the end of 60 days with the formation of a lamellar hole in its place. A follow-up was done for 24 months.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 150-153"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archivos de la Sociedad Espanola de Oftalmologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2173579425000106","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
The macular hole is a prevalent pathology whose types and causes are due to various reasons. Sometimes it can coexist with other diseases such as age-related macular degeneration. Its pathophysiological basis may have a common relationship with the degenerative lamellar foramen. Optical coherence tomography plays a fundamental role in understanding its genesis.
In this work, we present the case of a 60-year-old patient with age-related macular degeneration, who consults due to decreased visual acuity in the left eye. The ophthalmological examination revealed a drusenoid detachment of the retinal pigment epithelium in the foveal area, visible by optical coherence tomography, in addition to multiple drusen in both eyes.
Image follow-up showed regression of the detachment at the end of 60 days with the formation of a lamellar hole in its place. A follow-up was done for 24 months.
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