A Case of Secondary Macular Hole Formation after Phacoemulsification in a Vitrectomized Eye.
10.3341/jkos.2012.53.4.597
- Author:
Cheol Min YUN
1
;
Sun Mo YANG
;
Seong Woo KIM
;
Jae Ryung OH
;
Kuhl HUH
Author Information
1. Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. parasols@hanmail.net
- Publication Type:Case Report
- Keywords:
Cataract surgery;
Cystoid macular edema;
Macular hole;
Vitrectomized eye
- MeSH:
Cataract;
Eye;
Humans;
Lens Implantation, Intraocular;
Macular Edema;
Membranes;
Middle Aged;
Phacoemulsification;
Retinal Perforations;
Tomography, Optical Coherence;
Vision Disorders;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2012;53(4):597-601
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of secondary macular hole formed after phacoemulsification in a vitrectomized eye which was treated with macular hole surgery. CASE SUMMARY: A 53-year-old man with a history of pars plana vitrectomy developed a cataract in his left eye. Uncomplicated cataract surgery involving phacoemulsification with posterior chamber intraocular lens implantation was performed. At his routine 3-month post-operative visit, he reported metamorphopsia. Fundus examinations and optical coherence tomography revealed a cystoid macular edema and a full thickness macular hole. He underwent repair of the macular hole including internal limiting membrane peeling and gas injection. Three months later, post-operative examinations showed anatomical closure of the macular hole. CONCLUSIONS: When performing cataract surgery, even in a previously vitrectomized eye, clinicians should be aware of the possibility of cystoid macular edema. A thorough pre- and post-operative assessment, including fundus examinations and optical coherence tomography must be carefully performed in order to detect a macular hole associated with cystoid macular edema. And prompt treatment is required when a macular hole is detected.
