title: Bilateral macular hole following myopic photorefractive keratectomy.
abstract: A 42-year-old man was admitted to our clinic complaining of visual distortion in his left eye two months after bilateral myopic photorefractive keratectomy (PRK). Macular optical coherence tomography (OCT) showed a stage II macular hole in the left eye. Simultaneous OCT in the right eye showed vitreous traction and distortion of the outer retina. One month later, the patient underwent vitrectomy for the left eye, and the macular hole was closed. Two months after that, the patient complained of visual distortion in the right eye, and OCT revealed increased traction and accentuated outer retinal distortion indicating a stage IB macular hole. Traction attenuated later without any intervention. The short interval between PRK and hole formation, bilateral involvement, and the moderate refractive error in this case highlight the possible role of PRK in aggravating vitreoretinal interface abnormalities. We recommend the addition of PRK to the list of procedures that may be associated with the formation of a macular hole.
authors.affiliation: Retina Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Nasser
authors.initials: N
authors.lastname: Shoeibi
authors.affiliation: Department of Ophthalmology, Gonabad University of Medical Sciences, Gonabad, Iran. ; Center of Excellence for Biodiversity, Faculty of Natural Sciences, University of Tabriz, Tabriz, Iran.
authors.forename: Mohammad Hossein
authors.initials: MH
authors.lastname: Jabbarpoor Bonyadi
authors.affiliation: Retina Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Majid
authors.initials: M
authors.lastname: Abrishami
authors.affiliation: Retina Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Mohammad-Reza
authors.initials: MR
authors.lastname: Ansari-Astaneh
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009216:Myopia / Q000601:surgery*; D018903:Photorefractive Keratectomy / Q000009:adverse effects*; D012160:Retina / Q000473:pathology*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity
keywords: Optical coherence tomography; Photorefractive keratectomy; Retinal perforations