Late Closure of a Stage III Idiopathic Macular Hole after Pars Plana Vitrectomy
A 57-year-old female presented to our hospital with decreased vision in her right eye. Detailed ocular examination was performed, and a macular hole was detected in the right eye. The presence of a full-thickness stage III macular hole was confirmed with optical coherence tomography (OCT) imaging....
| Published in: | Türk Oftalmoloji Dergisi |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
| Published: |
Turkish Ophthalmology Society
2015-12-01
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| Subjects: | |
| Online Access: | http://www.oftalmoloji.org/article_9942/Late-Closure-Of-A-Stage-Iii-Idiopathic-Macular-Hole-After-Pars-Plana-Vitrectomy |
| Summary: | A 57-year-old female presented to our hospital with decreased vision in her right eye. Detailed ocular examination was performed, and a
macular hole was detected in the right eye. The presence of a full-thickness stage III macular hole was confirmed with optical coherence
tomography (OCT) imaging. Pars plana vitrectomy followed by long-acting gas tamponade (C3F8) was performed as treatment. One
month after surgery, clinical examination revealed a persistent macular hole, confirmed by an OCT scan. Although the patient was
scheduled for reoperation, the surgery was postponed due to personal reasons of the patient. Surprisingly, after five months, a closure
pattern with accompanying epiretinal membrane was observed in the macular hole area. The closure of the macular hole was completed
without any further intervention 8 months post-surgery. In cases of unclosed macular hole after the first surgery, if a second surgery
cannot be performed, follow-up with OCT recommended due to the possibility of spontaneous closure. However, spontaneous closure
of a persistent macular hole following PPV is rare, so early diagnosis and surgical repair of unclosed macular holes must remain the
primary goal. |
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| ISSN: | 1300-0659 2147-2661 |