title: [Classification of vitreomacular adhesion and macular holes].
abstract: BACKGROUND
  Optical coherence tomography has significantly changed the approach to vitreomacular diseases, including macular holes (MH). OCT provides information on differential diagnoses (lamellar hole, pseudo-hole), the MH size, the status of the vitreous, and the status of the various retinal layers. The evolution of diagnostic tools and treatment justifies the need for an update of the current classification of vitreomacular diseases.
  
  
  METHODS
  A group of retina specialists met several times to discuss the international classification, recently published by The International Vitreomacular Traction Study Group, focusing on vitreomacular adhesion (VMA), vitreomacular traction (VMT) and MH. It was compared to the classification currently used in France, based on the ophthalmoscopic system of Gass, then further delineated by Gaudric's OCT studies, in order to suggest a French adaptation to the international classification.
  
  
  RESULTS
  An adapted classification for clinical use in France and in connection with the international classification is proposed. VMA are classified as an "associated" or "isolated" VMA respectively with or without macular disease. MH are distinguished as "primary" or "secondary" MH depending on whether the etiology is known or not, and classified as "small", "medium" and "large" depending on the size of the hole, and according to the presence or absence of VMT. Finally, VMT are described according to presence or absence of an epimacular membrane and according to the width of the adhesion.
authors.affiliation: Fondation ophtalmologique A. de Rothschild, 25-27, rue Manin, 75019 Paris, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Le Mer
authors.affiliation: University Bordeaux, ISPED, centre Inserm U897-épidemiologie-biostatistique, 146, rue Léo-Saignat, 33076 Bordeaux cedex, France; Service d'ophtalmologie, groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: J-F
authors.initials: JF
authors.lastname: Korobelnik
authors.affiliation: Service d'ophtalmologie, centre hospitalier universitaire de la Croix-Rousse, hospices civils de Lyon, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France; Université de Lyon I, 43, boulevard du 11-Novembre-1918, 69100 Villeurbanne, France.
authors.forename: L
authors.initials: L
authors.lastname: Kodjikian
authors.affiliation: Service d'ophtalmologie, CHU de Dijon, 3, rue du Faubourg-Raines, 21000 Dijon, France.
authors.forename: C
authors.initials: C
authors.lastname: Creuzot-Garcher
authors.affiliation: Clinique ophtalmologique, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors.forename: M
authors.initials: M
authors.lastname: Weber
authors.affiliation: Centre Monticelli-Paradis, 433, rue Paradis, 13008 Marseille, France.
authors.forename: F
authors.initials: F
authors.lastname: Devin
authors.affiliation: Centre ophtalmologique Kléber, 50, cours Franklin-Roosevelt, 69006 Lyon, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Zech
authors.affiliation: Centre ophtalmologique d'imagerie et de laser (CIL), 11, rue Antoine-Bourdelle, 75015 Paris, France.
authors.forename: S Y
authors.initials: SY
authors.lastname: Cohen
authors.affiliation: Service d'ophtalmologie, hôpital Lariboisière, université Paris 7-Sorbonne Paris-Cité, 2, rue Ambroise-Paré, 75010 Paris, France. Electronic address: ramin.tadayoni@lrb.aphp.fr.
authors.forename: R
authors.initials: R
authors.lastname: Tadayoni
mesh_terms: D005128:Eye Diseases / Q000145:classification*; D006801:Humans; D012167:Retinal Perforations / Q000145:classification*; D041623:Tomography, Optical Coherence; D014822:Vitreous Body
keywords: Classification; Macula; Macular hole; Optical coherence tomography; Retina; Rétine; Tomographie en cohérence optique; Traction vitréomaculaire; Trou maculaire; Vitreomacular traction; Vitreous; Vitré