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BILATERAL LAMELLAR MACULAR HOLE SURGERY IN RETINITIS PIGMENTOSA
1*Southwest Retina Specialists, Amarillo, Texas; †Panhandle Eye Group, Amarillo, Texas; and ‡Texas Tech University Health Science Center, Amarillo, Texas.
Purpose:
To report the visual and anatomical outcomes after surgical repair of bilateral lamellar macular holes in a patient with retinitis pigmentosa.
Methods:
A 66-year-old woman with a 39-year history of retinitis pigmentosa presented with decreased visual acuity in both eyes. On examination, she was diagnosed with lamellar macular holes in both eyes. She underwent pars plana vitrectomy with internal limiting membrane peeling and short-term gas tamponade in both eyes.
Results:
The macular holes were successfully closed in both eyes. The patient's best-corrected Snellen visual acuity improved from 20/60⁻² to 20/30⁻¹ in the right eye and from 20/70⁻¹ to 20/40⁻¹ in the left eye at 6 months of postoperative follow-up.
Conclusion:
Bilateral lamellar macular holes are rare occurrences in patients with retinitis pigmentosa; improved visual and anatomical outcomes can result after surgical intervention.
