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Related Experiment Videos

Open retinotomy after submacular surgery.

B A Cooper1, M A Thomas, N M Holekamp

  • 1Department of Ophthalmology, Washington University, St. Louis, Missouri, USA.

American Journal of Ophthalmology
|December 22, 2000
PubMed
Summary
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Persistent open retinotomy after submacular surgery for presumed ocular histoplasmosis is common. Long-term follow-up shows no associated complications, suggesting this is a safe outcome in patients with ocular histoplasmosis.

Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Histoplasmosis Research

Background:

  • Submacular surgery is a treatment for choroidal neovascularization.
  • Presumed ocular histoplasmosis can cause vision-threatening neovascularization.
  • Surgical techniques aim to remove neovascular complexes while minimizing retinal damage.

Purpose of the Study:

  • To document the occurrence of persistent open retinotomy after submacular surgery.
  • To evaluate the long-term safety and implications of a persistent retinotomy in patients with presumed ocular histoplasmosis.

Main Methods:

  • Retrospective review of 5 patients with presumed ocular histoplasmosis.
  • Pars plana vitrectomy with surgical removal of submacular neovascularization.
  • Utilized a small retinotomy technique, followed by a mean of 47 months postoperatively.

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Main Results:

  • A persistent open retinotomy was observed in all 5 treated eyes.
  • No intraoperative or postoperative complications were attributed to the persistent retinotomy.
  • Long-term follow-up (≥36 months) did not reveal adverse events related to the open retinotomy site.

Conclusions:

  • Persistence of the retinotomy site is a potential outcome following submacular surgery.
  • An open retinotomy site appears to be well-tolerated and safe in the long term for patients with presumed ocular histoplasmosis.