Foveal cysts: a premacular hole condition associated with vitreous traction

J C Folk; H C Boldt; D G Keenum

doi:10.1001/archopht.116.9.1177

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Foveal cysts: a premacular hole condition associated with vitreous traction

Journal article

Open access

Peer reviewed

Foveal cysts: a premacular hole condition associated with vitreous traction

J C Folk, H C Boldt and D G Keenum

Archives of ophthalmology (1960), Vol.116(9), pp.1177-1183

09/1998

DOI: 10.1001/archopht.116.9.1177

PMID: 9747675

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Abstract

To define the clinical findings, cause, and outcome of patients with foveal cysts due to vitreous traction. Follow-up of 18 patients with foveal cysts and no posterior vitreous detachment (PVD). Changes were documented in visual acuity, the appearance of the fovea, or the development of a macular hole or PVD. We studied 8 eyes using the retinal thickness analyzer. On follow-up, 9 of 23 eyes did not develop a PVD and still had a foveal cyst; 8 of 23 developed a full-thickness macular hole; 4 of 23 developed a PVD with resolution of the cyst; and 2 eyes underwent vitrectomy for the cyst before a full-thickness hole developed. Analysis with the retinal thickness analyzer showed splitting within the middle retinal layers and in some cases unroofing or absent inner retinal layers in the center of the cyst. Foveal cysts are caused by vitreous traction. These eyes may remain stable, develop full-thickness holes, or develop a PVD with resolution of the cystic changes. A foveal cyst seems to be a common finding in patients with foveal traction from a variety of mechanisms.

Cysts - etiology

Cysts - surgery

Follow-Up Studies

Eye Diseases - complications

Fovea Centralis

Humans

Middle Aged

Male

Visual Acuity

Cysts - pathology

Retinal Diseases - etiology

Eye Diseases - surgery

Retinal Diseases - pathology

Vitreous Body - pathology

Female

Retinal Perforations - etiology

Retinal Perforations - surgery

Vitrectomy

Aged

Eye Diseases - pathology

Fundus Oculi

Retinal Diseases - surgery

Details

Title: Subtitle: Foveal cysts: a premacular hole condition associated with vitreous traction
Creators: J C Folk - Department of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City 52242-1091, USA. james-folk@uiowa.edu
H C Boldt
D G Keenum
Resource Type: Journal article
Publication Details: Archives of ophthalmology (1960), Vol.116(9), pp.1177-1183
DOI: 10.1001/archopht.116.9.1177
PMID: 9747675
NLM abbreviation: Arch Ophthalmol
ISSN: 0003-9950
eISSN: 1538-3601
Publisher: American Medical Association; United States
Language: English
Date published: 09/1998
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983979904402771

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