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Bilateral recurrent macular holes.

Stephen P Yoon1, Breanna A Polascik2, Dilraj S Grewal3

  • 1Duke University School of Medicine, Durham, NC, United States.

American Journal of Ophthalmology Case Reports
|June 28, 2018
PubMed
Summary
This summary is machine-generated.

This case study details a rare instance of a patient experiencing multiple recurrent full-thickness macular holes (FTMH) in both eyes over 15 years. Successful surgical treatment led to hole closure and improved vision in both eyes.

Keywords:
Internal limiting membrane peelMacular holeOptical coherence tomographyRecurrent macular holeReopening macular holeVitrectomy

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Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Bilateral recurrent full-thickness macular holes (FTMH) are exceptionally rare.
  • Understanding the long-term outcomes of managing multiple FTMH in a single patient is crucial.

Observation:

  • A 59-year-old female developed five FTMH (3 right, 2 left) over 15 years.
  • Each FTMH was treated with pars plana vitrectomy (PPV), with additional techniques like epiretinal membrane (ERM) peeling and internal limiting membrane (ILM) peeling used for recurrences.
  • Gas tamponade (14% C3F8) and prone positioning were consistently employed.

Findings:

  • All five FTMH, including recurrences, were successfully closed surgically.
  • The patient achieved significant visual acuity improvement, with 20/50 in the right eye and 20/32 in the left eye seven years post-final surgery.

Implications:

  • This case highlights that some individuals may be predisposed to multiple recurrent FTMH.
  • Favorable visual outcomes are achievable even after multiple surgical interventions for recurrent FTMH.