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Related Experiment Video

Updated: Feb 21, 2026

Retinal Pigment Epithelium Transplantation in a Non-human Primate Model for Degenerative Retinal Diseases
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Macular Hole Development After Vitrectomy for Floaters: A Case Report.

Andrea Appeltans1, Marco Mura2,3, Giulio Bamonte4

  • 1Department of Ophthalmology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.

Ophthalmology and Therapy
|October 13, 2017
PubMed
Summary

Macular hole development can occur after vitrectomy surgery for floaters, especially when posterior vitreous detachment is induced. This complication was successfully treated with a second surgery.

Keywords:
Macular holeVitrectomyVitreous floaters

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Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • A 44-year-old male patient experienced visually debilitating floaters for over two years.
  • Preoperative examination revealed vitreous degeneration in the right eye, with normal visual acuity bilaterally.

Purpose of the Study:

  • To report a case of macular hole development following vitrectomy for floaters.
  • To highlight a potential complication associated with induced posterior vitreous detachment.

Main Methods:

  • A 25-gauge transconjunctival sutureless pars plana complete vitrectomy was performed to induce posterior vitreous detachment.
  • A full-thickness macular hole was detected one month post-surgery, leading to a visual acuity of 20/80.
  • The macular hole was successfully closed via a secondary vitrectomy with internal limiting membrane peeling and gas tamponade.

Main Results:

  • Development of a full-thickness macular hole in the right eye one month after vitrectomy.
  • Significant decrease in visual acuity from 20/20 to 20/80.
  • Successful closure of the macular hole after a subsequent surgical intervention.

Conclusions:

  • Macular hole development is a potential complication of vitrectomy for floaters, particularly when posterior vitreous detachment is surgically induced.
  • This complication necessitates careful consideration and may require further surgical management.