title: Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome.
abstract: We report a 24-year-old man with Vogt-Koyanagi-Harada (VKH) syndrome who developed a macular hole (MH) during the acute inflammatory stage. Spontaneous resolution was unlikely because of the MH dimensions and absence of vitreous adherence. The patient underwent pars plana vitrectomy (PPV) and internal limiting membrane peeling during the acute stage followed by retinopexy with octafluoropropane injection and prone positioning for 5 days. The MH closed and the best-corrected visual acuity (BCVA) improved from 20/400 to 20/40. Prompt surgical intervention may be an alternative for treating MHs and obtaining visual recovery in special cases even in the acute inflammatory stage.
authors.affiliation: Vitreoretinal Diseases Unit, Brazilian Institute of Fighting Against Blindness, São Paulo, Brazil.
authors.forename: Rodrigo M
authors.initials: RM
authors.lastname: Navarro
authors.affiliation: Vitreoretinal Diseases Unit, Federal University of São Paulo, Vision Institute, São Paulo, Brazil.
authors.forename: Gisele C
authors.initials: GC
authors.lastname: Guizilini
authors.affiliation: Vitreoretinal Diseases Unit, Federal University of São Paulo, Vision Institute, São Paulo, Brazil.
authors.forename: Leonardo M
authors.initials: LM
authors.lastname: Machado
authors.affiliation: Vitreoretinal Diseases Unit, Brazilian Institute of Fighting Against Blindness, São Paulo, Brazil.|Vitreoretinal Diseases Unit, Federal University of São Paulo, Vision Institute, São Paulo, Brazil.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Maia
keywords: Macular hole; Pars plana vitrectomy; Vogt-Koyanagi-Harada syndrome