Delayed Closure of Idiopathic Macular Hole after Vitrectomy, Internal Limiting Membrane Peeling, and Gas Tamponade.
10.3341/jkos.2014.55.5.775
- Author:
Jong Heon LEE
1
;
Ho Yun KIM
;
Sung Who PARK
;
Ji Eun LEE
;
Ik Soo BYON
Author Information
1. Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea. isbyon@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Delayed closure;
Idiopathic macular hole
- MeSH:
Aged;
Cataract;
Female;
Humans;
Macular Edema;
Membranes*;
Retinal Perforations*;
Tomography, Optical Coherence;
Visual Acuity;
Vitrectomy*;
Vitreous Detachment
- From:Journal of the Korean Ophthalmological Society
2014;55(5):775-779
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of delayed idiopathic macular hole closure after vitrectomy, internal limiting membrane peeling, and gas tamponade. CASE SUMMARY: A 69-year-old female complained of visual disturbance in her left eye. At presentation, her visual acuity was 20/100 in the left eye. Fundus examination and optical coherence tomography revealed a full-thickness macular hole 489 microm in diameter as well as posterior vitreous detachment. Hence, vitrectomy, concurrent cataract surgery, internal limiting membrane peeling and gas tamponade were performed. One month postoperatively, the hole remained unclosed, although decreased in size to 378 microm. At 2 months, cystoid macular edema developed and postoperatively the hole diameter decreased gradually to 311 microm, 252 microm and 156 microm at 2, 3, and 5 months, respectively. Finally, the hole was closed upon the resolution of macular edema at 9 months. However, the visual acuity of 20/100 remained unchanged. CONCLUSIONS: Delayed closure of holes which may be related to cystoid macular edema, can develop after macular hole surgery.
