Multiple retinal holes in the macular region: a case report.
OBJECTIVE
To describe the first case of multiple retinal holes in the macular region successfully treated with vitrectomy.


METHODS
A single case report. A 44-year-old man was treated for impaired vision caused by multiple macular holes in the right eye.


RESULTS
Fundus examinations detected six retinal holes in the right macula and a giant macular hole in the left eye. Optical coherence tomography disclosed multiple vitreoretinal adhesions in the right macula. We vitrectomized the right eye to produce posterior vitreous detachment and then tamponaded the vitreous cavity with 20% SF(6) gas, resulting in closure of holes and improvement of the vision.


CONCLUSIONS
Multiple macular holes may be treated by surgical posterior detachment combined with gas tamponade. Vitreoretinal adhesions are a possible cause of these holes. Similar multiple holes may have coalesced into one giant hole in this patient's left eye.
Department of Ophthalmology, Wakayama Medical University, 811-1 Kimiidera, Japan. shizuya@wakayama-med.ac.jp
Shizuya
S
Saika
Yuko
Y
Hayashi
Takeshi
T
Miyamoto
Takeshi
T
Yoshitomi
Yoshitaka
Y
Ohnishi
D000328:Adult; D006801:Humans; D007368:Interferometry; D008027:Light; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D012167:Retinal Perforations / Q000150:complications* / Q000601:surgery; D013459:Sulfur Hexafluoride / Q000627:therapeutic use; D014054:Tomography; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery; D014821:Vitrectomy
D013459:Sulfur Hexafluoride