title: Macular hole formation in rhegmatogenous retinal detachment after scleral buckling.
abstract: OBJECTIVE
  To describe early macular hole (MH) development in rhegmatogenous retinal detachment (RRD) after scleral buckling (SB) based on optical coherence tomography (OCT) findings.
  
  
  METHODS
  The medical records and spectral domain OCT images of patients in whom MH developed after RRD repair were evaluated retrospectively.
  
  
  RESULTS
  A postoperative MH was detected in five eyes that underwent SB during a 6-year period. All had fovea-off RRD without MH at the time of surgery. OCT showed partial loss of the inner retina with a preserved photoreceptor layer in early postoperative days. On average, 7 days (range,5 to 8 days) after surgery, outer retinal tissues disappeared, resulting in the full-thickness MH.
  
  
  CONCLUSIONS
  Serial OCT findings revealed that partial-thickness lamellar holes progressed to full-thickness MHs, which were formed by the degeneration of the outer retina in eyes with preceding loss of the glial cone in the fovea.
authors.affiliation: Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea. ; Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors.forename: Ik Soo
authors.initials: IS
authors.lastname: Byon
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Busan, Korea.
authors.forename: Han Jo
authors.initials: HJ
authors.lastname: Kwon
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Busan, Korea.
authors.forename: Gun Hyung
authors.initials: GH
authors.lastname: Park
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Busan, Korea.
authors.forename: Sung Who
authors.initials: SW
authors.lastname: Park
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Busan, Korea. ; Medical institute, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Ji Eun
authors.initials: JE
authors.lastname: Lee
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology*; D012189:Retrospective Studies; D012591:Scleral Buckling; D041623:Tomography, Optical Coherence
keywords: Retinal perforations; Rhegmatogenous retinal detachment; Scleral buckling