Surgical repair of iatrogenic macular hole secondary to vitrectomy for long-standing traumatic retinal detachment.
The authors describe the successful surgical repair of an iatrogenic macular hole. A 38-year-old woman underwent pars plana vitrectomy with a belt buckle and membrane peeling for long-standing total traumatic retinal detachment. Although retinal reattachment was achieved, a macular hole was detected postoperatively. The hole was initially monitored for 2 months to allow for spontaneous closure; however, it enlarged from 440 to 710 microm. Best-corrected visual acuity was 20/400. Silicone-oil removal was performed along with dye-assisted internal limiting membrane peeling and gas tamponade. Closure of the macular hole was observed 1 month after treatment. Visual acuity improved to 20/120 by the last follow-up examination 1 year after treatment.
Shukla
Dhananjay
D
Retina-Vitreous Service, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, 1 Anna Nagar, Madurai 625 020, Tamil Nadu, India.
Kanungo
Sanghamitra
S
D000328:Adult; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D007049:Iatrogenic Disease; D007267:Injections; D008266:Macula Lutea / Q000293:injuries / Q000473:pathology; D012086:Reoperation / Q000379:methods*; D012163:Retinal Detachment / Q000601:surgery*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D041623:Tomography, Optical Coherence; D014821:Vitrectomy / Q000009:adverse effects*
D005466:Fluorocarbons