Skip Navigation LinksHome > May 2014 - Volume 34 - Issue 5 > GLIAL CELLS AND COLLAGENS IN EPIRETINAL MEMBRANES ASSOCIATED...
doi: 10.1097/IAE.0000000000000013
Original Study


Bu, Shao-Chong MD*,†,‡; Kuijer, Roel PhD†,§; van der Worp, Roelofje J.*,†; Huiskamp, Eveline A. MD*; Renardel de Lavalette, Victor W. MD*; Li, Xiao-Rong MD, PhD; Hooymans, Johanna M. M. MD, PhD*,†; Los, Leonoor I. MD, PhD*,†

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Purpose: To investigate the identity of collagens and cellular components in the epiretinal membrane (ERM) associated with full-thickness idiopathic macular hole and their clinical relevance.

Methods: Pars plana vitrectomy with the peeling of internal limiting membrane and ERM was performed by 2 surgeons in 40 eyes with idiopathic macular holes. The clinical data were reviewed and the surgical specimens were processed for flat-mount and immunohistochemical analysis.

Results: Epiretinal membrane is a GFAP-positive gliotic and fibrotic scar which contains newly formed Type I, III, and V collagens. Type VI collagen was not observed. Colocalization studies found cells coexpressing GFAP/CRALBP, GFAP/α-SMA, and α-SMA/CRALBP, which are consistent with transdifferentiation of Müller cells into fibroblasts and myofibroblasts. The clinically significant ERMs can be divided into two groups according to the amount of cells in ERM: sparse cellular proliferation and dense cellular proliferation. The latter group is associated with a higher chance of surgical difficulty during internal limiting membrane peeling (P = 0.006). Preoperative and postoperative visual function were not affected by the density of the cellular proliferation.

Conclusion: Retinal glial cells, probably transdifferentiated Müller cells, are involved in the formation of full-thickness macular hole-associated ERMs by a gliotic and fibrotic process. Such ERMs contain newly formed Type I, III, and V collagen depositions. The cell density of ERM affects its biomechanical properties and determines the difficulty of ERM peeling.

© 2014 by Ophthalmic Communications Society, Inc.


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