Macular Hole Formation in Rhegmatogenous Retinal Detachment after Scleral Buckling.
10.3341/kjo.2014.28.5.364
- Author:
Ik Soo BYON
1
;
Han Jo KWON
;
Gun Hyung PARK
;
Sung Who PARK
;
Ji Eun LEE
Author Information
1. Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea.
- Publication Type:Original Article
- Keywords:
Retinal perforations;
Rhegmatogenous retinal detachment;
Scleral buckling
- MeSH:
Aged;
Humans;
Male;
Middle Aged;
*Postoperative Complications;
Retinal Detachment/*surgery;
Retinal Perforations/diagnosis/*etiology;
Retrospective Studies;
*Scleral Buckling;
Tomography, Optical Coherence
- From:Korean Journal of Ophthalmology
2014;28(5):364-372
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To describe early macular hole (MH) development in rhegmatogenous retinal detachment (RRD) after scleral buckling (SB) based on optical coherence tomography (OCT) findings. METHODS: The medical records and spectral domain OCT images of patients in whom MH developed after RRD repair were evaluated retrospectively. RESULTS: A postoperative MH was detected in five eyes that underwent SB during a 6-year period. All had fovea-off RRD without MH at the time of surgery. OCT showed partial loss of the inner retina with a preserved photoreceptor layer in early postoperative days. On average, 7 days (range,5 to 8 days) after surgery, outer retinal tissues disappeared, resulting in the full-thickness MH. CONCLUSIONS: Serial OCT findings revealed that partial-thickness lamellar holes progressed to full-thickness MHs, which were formed by the degeneration of the outer retina in eyes with preceding loss of the glial cone in the fovea.
