Correlative Microscopy of Lamellar Hole-Associated Epiretinal Proliferation

Purpose. To describe morphology of lamellar hole-associated epiretinal proliferation (LHEP) removed from eyes with lamellar macular holes (LMH). Methods. Based on optical coherence tomography data, 10 specimens of LHEP were removed from 10 eyes with LMH during standard vitrectomy. Specimens were pre...

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Main Authors: Denise Compera, Enrico Entchev, Christos Haritoglou, Wolfgang J. Mayer, Felix Hagenau, Jean Ziada, Anselm Kampik, Ricarda G. Schumann
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/450212
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author Denise Compera
Enrico Entchev
Christos Haritoglou
Wolfgang J. Mayer
Felix Hagenau
Jean Ziada
Anselm Kampik
Ricarda G. Schumann
author_facet Denise Compera
Enrico Entchev
Christos Haritoglou
Wolfgang J. Mayer
Felix Hagenau
Jean Ziada
Anselm Kampik
Ricarda G. Schumann
author_sort Denise Compera
collection DOAJ
description Purpose. To describe morphology of lamellar hole-associated epiretinal proliferation (LHEP) removed from eyes with lamellar macular holes (LMH). Methods. Based on optical coherence tomography data, 10 specimens of LHEP were removed from 10 eyes with LMH during standard vitrectomy. Specimens were prepared for correlative light and electron microscopy (CLEM) using an immunonanogold particle of 1.4 nm diameter that was combined with a fluorescein moiety, both having been attached to a single antibody fragment. As primary antibodies, we used antiglial fibrillary acidic protein (GFAP), anti-CD45, anti-CD64, anti-α-smooth muscle actin (α-SMA), and anticollagen type I and type II. Results. In LHEP, GFAP-positive cells possess ultrastructural characteristics of fibroblasts and hyalocytes. They represent the major cell types and were densely packed in cell agglomerations on vitreous collagen strands. Epiretinal cells of LHEP rarely demonstrated contractive properties as α-SMA-positive myofibroblasts were an infrequent finding. Conclusion. CLEM indicates that epiretinal cells in LHEP might originate from the vitreous and that remodelling processes of vitreous collagen may play an important role in pathogenesis of eyes with LMH.
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spelling doaj-art-2cad334bf64c4216ac28e94b0f081f0a2025-08-20T03:55:00ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/450212450212Correlative Microscopy of Lamellar Hole-Associated Epiretinal ProliferationDenise Compera0Enrico Entchev1Christos Haritoglou2Wolfgang J. Mayer3Felix Hagenau4Jean Ziada5Anselm Kampik6Ricarda G. Schumann7Department of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336 Munich, GermanyPurpose. To describe morphology of lamellar hole-associated epiretinal proliferation (LHEP) removed from eyes with lamellar macular holes (LMH). Methods. Based on optical coherence tomography data, 10 specimens of LHEP were removed from 10 eyes with LMH during standard vitrectomy. Specimens were prepared for correlative light and electron microscopy (CLEM) using an immunonanogold particle of 1.4 nm diameter that was combined with a fluorescein moiety, both having been attached to a single antibody fragment. As primary antibodies, we used antiglial fibrillary acidic protein (GFAP), anti-CD45, anti-CD64, anti-α-smooth muscle actin (α-SMA), and anticollagen type I and type II. Results. In LHEP, GFAP-positive cells possess ultrastructural characteristics of fibroblasts and hyalocytes. They represent the major cell types and were densely packed in cell agglomerations on vitreous collagen strands. Epiretinal cells of LHEP rarely demonstrated contractive properties as α-SMA-positive myofibroblasts were an infrequent finding. Conclusion. CLEM indicates that epiretinal cells in LHEP might originate from the vitreous and that remodelling processes of vitreous collagen may play an important role in pathogenesis of eyes with LMH.http://dx.doi.org/10.1155/2015/450212
spellingShingle Denise Compera
Enrico Entchev
Christos Haritoglou
Wolfgang J. Mayer
Felix Hagenau
Jean Ziada
Anselm Kampik
Ricarda G. Schumann
Correlative Microscopy of Lamellar Hole-Associated Epiretinal Proliferation
Journal of Ophthalmology
title Correlative Microscopy of Lamellar Hole-Associated Epiretinal Proliferation
title_full Correlative Microscopy of Lamellar Hole-Associated Epiretinal Proliferation
title_fullStr Correlative Microscopy of Lamellar Hole-Associated Epiretinal Proliferation
title_full_unstemmed Correlative Microscopy of Lamellar Hole-Associated Epiretinal Proliferation
title_short Correlative Microscopy of Lamellar Hole-Associated Epiretinal Proliferation
title_sort correlative microscopy of lamellar hole associated epiretinal proliferation
url http://dx.doi.org/10.1155/2015/450212
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