Paracentral retinal defects after vitrectomy for macular hole and their evolution over time.
OBJECTIVE
The aim of this article is to present paracentral defects after macular hole surgery with spectral optical coherence tomography and to discuss its influence on functional outcome.


METHODS
The authors report a spectral optical coherence tomography documented case of paracentral retinal defects in a patient after macular hole surgery. A spectral optical coherence tomography device with an axial resolution of 3 μm was used. The 3-dimensional examination scanned an area of 7 × 7 mm around the macula. Additionally HRT2, macular module scans were performed.


RESULTS
A 70-year-old man underwent surgery for macular hole. Best-corrected visual acuity was 0.2 for 2 years after surgery. Paracentral retinal defects, first observed 1 week after surgery, tended to decrease in size.


CONCLUSIONS
Full-thickness paracentral retinal holes are a rare vitrectomy complication. In this study, we suggest that the cause of those defects can be internal limiting membrane peeling itself, with no component of direct mechanical trauma.
From the Ophthalmic Clinic, "Jasne Blonia," Lodz, Poland.
Zofia
Z
Michalewska
Janusz
J
Michalewski
Jerzy
J
Nawrocki