Vitreous surgery combined with internal limiting membrane peeling for traumatic macular hole with severe retinal folds.
OBJECTIVE
To report a case of a traumatic macular hole with severe retinal folds in which vitreous surgery combined with internal limiting membrane (ILM) peeling was beneficial. To demonstrate that the area from which the ILM was peeled can be clearly differentiated by scanning laser ophthalmoscopy.


METHODS
A posterior hyaloid detachment was created during vitreous surgery on a 34 year old man with a traumatic macular hole. The remaining vitreous was resected and the ILM was peeled. The fundus was examined through a scanning laser ophthalmoscope before and after the surgery.


RESULTS
The retinal folds disappeared concurrently with the detachment of the ILM, resulting in closure of the macular hole. The area from which the ILM was peeled was clearly observed through the scanning laser ophthalmoscope.


CONCLUSIONS
In this patient, it was helpful to perform not only posterior hyaloid detachment but also ILM peeling. The scanning laser ophthalmoscope was highly useful for observing the area from which the ILM was peeled.
Ikeda
Tomohiro
T
Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Japan. tikeda@a2.mbn.or.jp
Sato
Keiko
K
Otani
Hiroshige
H
Yu
Saiyuu
S
Ikeda
Naohiro
N
Mimura
Osamu
O
D000328:Adult; D019773:Epiretinal Membrane / Q000601:surgery*; D005131:Eye Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D009887:Ophthalmoscopy; D012164:Retinal Diseases / Q000601:surgery; D012167:Retinal Perforations / Q000601:surgery*; D013459:Sulfur Hexafluoride / Q000627:therapeutic use; D014792:Visual Acuity; D014821:Vitrectomy
D013459:Sulfur Hexafluoride