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Macular hole after vitrectomy for primary rhegmatogenous retinal detachment
Ido Didi Fabian1, Elad Moisseiev, Joseph Moisseiev
1The Goldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel. didifabian@gmail.com
Retina (Philadelphia, Pa.)
|July 30, 2011
Summary
Macular holes (MH) can develop after surgery for rhegmatogenous retinal detachment (RRD). Surgical repair of these secondary macular holes is often successful, though their cause remains unknown.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Macular Diseases
Background:
- Pars plana vitrectomy is a common surgical procedure for rhegmatogenous retinal detachment (RRD).
- Secondary macular hole (MH) formation is a potential complication following vitrectomy for RRD.
Observation:
- This study reviewed 6 patients (7 eyes) who developed MH after RRD repair surgery.
- The mean interval between RRD repair and MH development was 20 months.
- Macular holes occurred in 1.1% of patients undergoing vitrectomy for primary RRD.
Findings:
- Four out of five surgically treated MHs closed successfully.
- One MH closed spontaneously in a patient with an epiretinal membrane.
- Visual acuity improved significantly after MH repair surgery.
Implications:
- Macular hole formation is a recognized complication of vitrectomy for RRD.
- Surgical intervention, including inner limiting membrane peeling, can effectively repair these macular holes.
- Further research is needed to elucidate the pathogenesis of post-vitrectomy macular holes.
