title: DOUBLE ARCUATE RELAXING RETINOTOMY FOR A LARGE MACULAR HOLE.
abstract: OBJECTIVE
  To describe double arcuate relaxing retinotomy as an alternative surgical technique in a case with a secondary large macular hole.
  
  
  METHODS
  The management of a patient who developed a large macular hole and macular tractional rhegmatogenous retinal detachment after pars plana vitrectomy for proliferative diabetic retinopathy was retrospectively assessed. Despite surgical procedures, such as dissection of a preretinal membrane from the retina and peeling of the retinal internal limiting membrane, the macular hole could not be closed. In the absence of an alternative method, superior and inferior posterior arcuate, 120° relaxing retinotomies were performed.
  
  
  RESULTS
  At the follow-up, the macular hole closure was confirmed by clinical examination and optical coherence tomography imaging, and visual acuity improved. There were no intraoperative or postoperative complications.
  
  
  CONCLUSIONS
  In cases of large macular holes, double arcuate relaxing retinotomy can reduce traction, leading to hole closure.
authors.affiliation: Istanbul Retina Institute, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Karacorlu
authors.forename: Isil
authors.initials: I
authors.lastname: Sayman Muslubas
authors.forename: Mumin
authors.initials: M
authors.lastname: Hocaoglu
authors.forename: Serra
authors.initials: S
authors.lastname: Arf
authors.forename: Mehmet Giray
authors.initials: MG
authors.lastname: Ersoz
mesh_terms: D003930:Diabetic Retinopathy / Q000150:complications; D005260:Female; D006801:Humans; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D012163:Retinal Detachment / Q000601:surgery; D012167:Retinal Perforations / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult