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Full-thickness eccentric macular hole following vitrectomy with internal limiting membrane peeling
Steven Yeh1, Keith A Bourgeois, Matthew S Benz
1Cullen Eye Institute, Baylor College of Medicine, USA.
Summary
A patient developed an asymptomatic, eccentric full-thickness macular hole after surgery. Optical coherence tomography confirmed the finding, and the patient remained without visual complaints.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Internal limiting membrane peeling is a surgical technique used during macular hole repair.
- Trypan blue is a vital stain sometimes used to enhance visualization of the internal limiting membrane.
Observation:
- A 65-year-old male patient presented post-macular hole surgery with trypan blue-assisted internal limiting membrane peeling in his left eye.
- Despite no subjective visual complaints, clinical examination revealed an eccentric full-thickness macular hole.
- Optical coherence tomography (OCT) confirmed the presence and location of the macular hole.
Findings:
- An eccentric, full-thickness macular hole was identified post-surgery.
- The macular hole was located within the superior vascular arcade.
- The patient remained asymptomatic throughout the observation period.
Implications:
- This case highlights the possibility of developing new macular holes even after successful surgery.
- Asymptomatic macular holes may occur, emphasizing the importance of thorough post-operative examination.
- Further research may be needed to understand the incidence and management of de novo macular holes post-surgery.
