Deciding when to observe, operate on lamellar macular holes

NEW YORK – Lamellar macular holes may lead to progressive vision loss, but not all patients will need surgery, according to a speaker here.
Stanley Chang, MD, said lamellar macular holes (LMH) recently got a new classification allowing for better definition using optical coherence tomography.
“I think there’s been some controversies about how to manage lamellar macular holes and this primarily arises from some confusion in how the diagnosis is made based on OCT examinations,” Chang said during OSN New York Retina 2021.
With LMH, the retina is minimally thickened, and