RELAXING NASAL RETINOTOMY TECHNIQUE FOR CLOSURE OF A MACULAR HOLE THAT REOPENED AFTER PRIMARY VITRECTOMY
Darren Knight1, Jeffrey J Yu1, Sean D Adrean2
1Gavin Herbert Eye Institute, University of California Irvine, Irvine, California; and.
Purpose:
To describe relaxing nasal retinotomy as a technique to achieve closure of a recurrent macular hole.
Methods:
A patient with juxtafoveal telangiectasia presented with recurrent macular hole after primary vitrectomy and internal limiting membrane peel. During repeat surgery, a superonasal retinotomy was performed to allow for release of tangential traction contributing to the macular hole.
Results:
Intraoperative ocular coherence tomography demonstrated decrease in size of the macular hole immediately after retinotomy. At follow-up, both the macular hole and retinotomy site had closed completely.
Conclusion:
In patients with small macular holes that fail primary vitrectomy, nasal relaxing retinotomy can contribute to successful hole closure.
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