title: Macular hole after vitrectomy for primary rhegmatogenous retinal detachment.
abstract: OBJECTIVE
  To report a series of full-thickness macular holes (MH) that developed after pars plana vitrectomy for rhegmatogenous retinal detachment (RRD).
  
  
  METHODS
  A retrospective review of the demographic and medical data, including optical coherence tomography studies of 6 patients (7 eyes) who underwent pars plana vitrectomy for RRD and subsequently developed MH.
  
  
  RESULTS
  There were 4 women and 2 men with a mean age of 60 ± 10 years (range, 50-79 years). The mean interval between RRD repair and MH formation was 20 ± 18 months (range, 1-48 years). Five eyes underwent surgery to repair the MHs, four of which were closed at the last follow-up. Two eyes were not operated, one because of unfavorable prognosis, and in the other, which presented with an epiretinal membrane before the development of the MH, the hole closed spontaneously. In all operated cases, the inner limiting membrane was peeled during MH surgery. The mean logarithm of the minimal angle of resolution was 0.73, 0.53, 0.77, and 0.57 at RRD presentation, after surgical repair of RRD and before MH diagnosis, at MH presentation, and at last follow-up, respectively. The study subjects accounted for 1.1% of our 609 patients who underwent pars plana vitrectomy for primary RRD during the study period.
  
  
  CONCLUSIONS
  Macular hole may develop after pars plana vitrectomy for RRD, and these cases can be surgically repaired. The pathogenesis of the formation of these holes remains unclear.
authors.affiliation: The Goldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel. didifabian@gmail.com
authors.forename: Ido Didi
authors.initials: ID
authors.lastname: Fabian
authors.forename: Elad
authors.initials: E
authors.lastname: Moisseiev
authors.forename: Joseph
authors.initials: J
authors.lastname: Moisseiev
authors.forename: Iris
authors.initials: I
authors.lastname: Moroz
authors.forename: Adiel
authors.initials: A
authors.lastname: Barak
authors.forename: Amir
authors.initials: A
authors.lastname: Alhalel
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D015995:Prevalence; D012163:Retinal Detachment / Q000601:surgery*; D012167:Retinal Perforations / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000009:adverse effects* / Q000379:methods