Nonprogressive extrafoveal retinal hole after foveal epiretinal membrane removal.
OBJECTIVE
To report an extrafoveal posterior retinal hole after surgical removal of foveal epiretinal membrane.


METHODS
Observational case reports.


METHODS
We describe two patients who underwent vitrectomy surgery with an epiretinal membrane removal. Five months after vision improving surgery, a small retinal hole outside the macular area developed.


RESULTS
Fundus photography and optical coherence tomography showed a full-thickness retinal hole with a surrounding cuff of subretinal fluid smaller than described in stage III or IV macular holes. The hole has been stable in shape and dimension, has not progressed to retinal detachment, and is not associated with an epiretinal membrane; the fluid is not impinging on the macular area.


CONCLUSIONS
Asymptomatic full-thickness extrafoveal retinal holes, which do not progress to neurosensory detachment, can develop after epiretinal membrane peeling. These appear stable and have substantially smaller cuffs of subretinal fluid than typical macular holes.
Jacobs Retina Center at Shiley Eye Center, University of California, San Diego, La Jolla, California 92037, USA.
Igor
I
Kozak
William R
WR
Freeman
D000368:Aged; D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy