SUCCESSFUL CLOSURE OF FULL-THICKNESS MACULAR HOLES SECONDARY TO MACULAR VITELLIFORM LESIONS.
OBJECTIVE
To describe the first reported cases of full-thickness macular holes secondary to vitelliform lesions that were successfully closed with vitrectomy surgery and gas tamponade.


METHODS
Two female patients developed visual loss secondary to bilateral vitelliform lesions and associated full-thickness macular holes. The patients underwent 25-gauge pars plana vitrectomy, internal limiting membrane peeling, and 26% sulfur hexafluoride gas, followed by 3 days of face-down positioning.


RESULTS
In both patients, the macular holes remain closed 3 and 25 months postoperatively.


CONCLUSIONS
Vitrectomy surgery with gas tamponade may successfully close full-thickness macular holes secondary to macular vitelliform lesions.
Deakin University, Geelong, Victoria, Australia.
Justin C
JC
Galvin
Sydney Hospital, Sydney Eye Hospital, Sydney, New South Wales, Australia.|Department of Ophthalmology, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
Brian E
BE
Chua
Department of Ophthalmology, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.|Save Sight Institute, University of Sydney, Sydney, New South Wales, Australia.|Department of Ophthalmology, Westmead Hospital, Sydney, New South Wales, Australia.
Adrian T
AT
Fung
D000368:Aged; D058450:Endotamponade; D005260:Female; D006801:Humans; D008875:Middle Aged; D012167:Retinal Perforations / Q000601:surgery*; D016896:Treatment Outcome; D057826:Vitelliform Macular Dystrophy / Q000150:complications*; D014821:Vitrectomy / Q000379:methods