SPONTANEOUS CLOSURE OF MACULAR HOLE AFTER DRAINAGE OF SUBFOVEAL PERFLUOROCARBON LIQUID.
OBJECTIVE
To report a rare case of macular hole formation after drainage of subretinal perfluorocarbon liquid (PFCL), which closed spontaneously.


METHODS
Retrospective case report. A 60-year-old was noted to have subfoveal PFCL after a macula-involving retinal detachment repair with silicone oil tamponade. Spectral domain optical coherence tomography (Spectralis; Heidelberg Engineering, Heidelberg, Germany) was used for postoperative imaging.


RESULTS
Two months postdetachment repair, the patient underwent removal of silicone oil and drainage of subfoveal PFCL using a 41-gauge cannula through a extrafoveal retinotomy. A full-thickness macular hole was noted 2 weeks postoperatively. This closed spontaneously 4 months later, with an improvement in vision, although there was evidence of subfoveal atrophy.


CONCLUSIONS
Macular hole formation can occur after drainage of subfoveal PFCL, with a favorable prognosis if managed conservatively. The resultant foveal atrophy highlights the importance of early identification and removal of subretinal PFCL.
Department of Vitreoretinal Surgery, Moorfields Eye Hospital, London, United Kingdom.
Edward J
EJ
Casswell
Philip J
PJ
Banerjee
David G
DG
Charteris
Paul M
PM
Sullivan
D004322:Drainage / Q000379:methods*; D058450:Endotamponade / Q000009:adverse effects*; D005466:Fluorocarbons / Q000008:administration & dosage / Q000009:adverse effects*; D005500:Follow-Up Studies; D005584:Fovea Centralis; D006801:Humans; D008875:Middle Aged; D012075:Remission, Spontaneous; D012163:Retinal Detachment / Q000175:diagnosis / Q000601:surgery*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology*; D012827:Silicone Oils / Q000008:administration & dosage / Q000009:adverse effects; D013997:Time Factors; D041623:Tomography, Optical Coherence; D014792:Visual Acuity
D005466:Fluorocarbons; D012827:Silicone Oils