Reopening of a macular hole after nd:yag laser capsulotomy in a vitrectomized eye.
OBJECTIVE
To describe a case of reopening of macular hole in a vitrectomized eye after Nd:YAG laser capsulotomy.


METHODS
A 70-year-old man presented with a Stage 3 macula hole 5 years previously with a vision of 6/24.


RESULTS
The patient had a vitrectomy with perfluoropropane tamponade. The macula hole closed and vision improved to 6/12. Subsequently, the patient underwent cataract surgery. The patient required Nd:YAG laser capsulotomy 18 months later for posterior capsule opacification. Assessment before laser treatment revealed the macular hole had remained closed. Immediately postlaser, the patient reported noticing a distinct central scotoma and it was later confirmed that the macular hole had reopened. He had a repeat vitrectomy with internal limiting membrane peel and perfluoropropane tamponade. The macular hole closed and vision improved to 6/18.


CONCLUSIONS
To date, this represents the first case reported in the literature of reopening of a macular hole after Nd:YAG laser capsulotomy in a vitrectomized eye. This implicates causes other than changes in the vitreous for reopening of the macular hole.
From the Department of Ophthalmology, Worthing and Southlands Hospitals NHS Trust, Worthing, West Sussex, United Kingdom.
Sengal V
SV
Nadarajah
Chee
C
Kon
Sal
S
Rassam