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Multiple retinal holes in the macular region: a case report
Shizuya Saika1, Yuko Hayashi, Takeshi Miyamoto
1Department of Ophthalmology, Wakayama Medical University, 811-1 Kimiidera, Japan. shizuya@wakayama-med.ac.jp
Summary
This study presents the first successful vitrectomy for multiple macular holes. Surgical posterior vitreous detachment and gas tamponade effectively closed the holes, improving vision.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Multiple macular holes are rare and challenging to treat.
- Vitreoretinal adhesions are implicated as a potential cause.
Observation:
- A 44-year-old male presented with impaired vision due to multiple macular holes in the right eye.
- Fundus examination revealed six retinal holes in the right macula and a giant macular hole in the left eye.
- Optical coherence tomography showed vitreoretinal adhesions in the right macula.
Findings:
- The patient underwent vitrectomy of the right eye, achieving posterior vitreous detachment.
- The vitreous cavity was then tamponaded with 20% SF(6) gas.
- This procedure resulted in the closure of the macular holes and improved visual acuity.
Implications:
- Vitrectomy with posterior vitreous detachment and gas tamponade is a viable treatment for multiple macular holes.
- Vitreoretinal adhesions may play a role in the pathogenesis of multiple macular holes.
- The findings suggest that multiple holes might coalesce to form giant macular holes.