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Evidence of an aging-like foveal profile in healthy fellow eyes of patients with idiopathic macular hole

A study · Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · Oct 28, 2026

What this means

to analyze if healthy fellow eyes (FE) of patients with idiopathic macular hole (IMH) present an aging-like foveal profile. 35 years) who were compared with age and sex matched controls.

A plain-English summary is on its way. Until then, this is the start of the authors' own summary.

Tested inNot stated
Who it was tested in
Not stated
Kind of research
A study

The science

Original title
Evidence of an aging-like foveal profile in healthy fellow eyes of patients with idiopathic macular hole.
Authors
Julio G, Delàs B, Larena R et al.
Journal
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
Published
Oct 28, 2026
Study type
Study

Abstract

Background

to analyze if healthy fellow eyes (FE) of patients with idiopathic macular hole (IMH) present an aging-like foveal profile.

What they did

This observational, comparative, cross-sectional study included 62 healthy FE (44 females and 18 males; mean age of 67.02 ± 6.35 years) who were compared with age and sex matched controls. Ophthalmologic examination was performed, including optical coherence tomography (OCT) and OCT-angiography (OCTA). FAZ area, superficial capillary plexus (SCP) vessel density (VD) and perfusion density (PD), central foveal thickness (CFT), external limiting membrane (ELM), ellipsoid zone (EZ) thickness, and choroidal thickness (ChT) at 5 locations. Eyes that showed any abnormal findings by OCT were excluded. The aging-like foveal profile was defined, in accordance with the literature, when the foveal structures exhibited significantly reduced dimensions compared with age-and sex- matched controls, apart from the foveal avascular zone, which is expected to be larger.

What they found

FE showed significantly larger FAZ area (p = 0.002) and reduced VD (p = 0.002) and PD (p = 0.003), reduced ELM (p = 0.001) and EZ thickness (p = 0.005) with thinner CFT (p < 0.001) than age- and sex- matched controls. Reduction of ChT was found in FE but it was not significant. Foveal characteristics of healthy FE of patients with unilateral IMH are consistent with an aging-like foveal profile. It is plausible to think that this greater physiological deterioration would exacerbate the effect of tangential vitreofoveal traction, thus increasing the risk of idiopathic macular hole. An aging-like profile emerges as one determining risk factor to develop IMH.

The authors' abstract, grouped under plain headings from its own section labels.

Read it on PubMed ↗

Julio G, Delàs B, Larena R et al. Evidence of an aging-like foveal profile in healthy fellow eyes of patients with idiopathic macular hole. Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2026. doi:10.1007/s00417-026-07537-1. PMID: 42946898. https://pubmed.ncbi.nlm.nih.gov/42946898/

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