Macular Hole After Vitrectomy for Primary Rhegmatogenous Retinal Detachment

Fabian, Ido Didi; Moisseiev, Elad; Moisseiev, Joseph; Moroz, Iris; Barak, Adiel; Alhalel, Amir

doi:10.1097/iae.0b013e31821f5d81

Cited by 49 publications

(31 citation statements)

References 30 publications

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“…15, 16 This includes cases of scleral buckle and pneumatic retinopexy procedures for retinal re-attachment (Table 4). 15–25 Clinical characteristics and outcomes from the current study were compared with published data. In the current study, 67% of patients were younger than 65 years of age.…”

Section: Discussionmentioning

confidence: 99%

Macular Hole After Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Medina

Ortiz

Relhan

et al. 2017

Retina

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Purpose To report the clinical features, possible associations and treatment outcomes of patients with macular hole after pars plana vitrectomy (single or multiple) for rhegmatogenous retinal detachment. Methods Retrospective consecutive case series from July 2009 to July 2014. Results In the 15 study patients, the average time from retinal detachment surgery to macular hole diagnosis was 119 days (range: 41 – 398 months). Possible associations include epiretinal membrane (73%, 11/15 patients), macula-off retinal detachment (60%, 9/15 patients), recurrent retinal detachment (47%, 7/15 patients) and high myopia (56%, 5/9 patients). Single surgery was successful in hole closure in 8/15 patients (Group A) while 7/15 patients underwent multiple surgeries (Group B). Macular hole closure was achieved in 7/8 (87.5%) patients in Group A compared to 4/7 (57.1%) patients in Group B. Improvement of at least two lines of Snellen’s visual acuity was achieved in 4/8 (50.0%) and 4/7 (57.1%) patients in Group A and B respectively. Conclusion In patients with macular hole formation after pars plana vitrectomy for retinal detachment, possible associations were epiretinal membrane, macula-off retinal detachment, recurrent retinal detachment and high myopia. Even when macular hole closure was achieved, limited visual improvement occurred.

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Section: Discussionmentioning

confidence: 99%

Macular Hole After Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Medina

Ortiz

Relhan

et al. 2017

Retina

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“…[6][7][8][9][10][11][12][13][14][15] The underlying cause as suggested by Gass is a progressive anteroposterior and/or tangential traction in the premacular vitreous cortex. 16 Recently, glial cells and myofibroblasts have been suggested to contribute to the generation of such traction forces in the vitreous body, and Schumann et al 17 reported that in 57% of the cases such cell proliferation was detected.…”

Section: Discussionmentioning

confidence: 99%

Macular Hole after Phakic Intraocular Lens Implantation: Two Cases with Divergent Manifestations

Jun

Kim

2013

Seminars in Ophthalmology

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We describe two cases of a macular hole (MH) which had divergent manifestations and clinical courses following implantation of an Implantable Collamer Lens (ICL) in two high myopic patients. The onset of symptoms and shape of the holes, which were observed by optical coherence tomography and fundoscopy, and prognosis of the visual acuity after the surgery of each patient, were quite different. In the first patient, the symptom was an acute onset. Fundoscopy showed a cuneiform-shaped hole with internal limiting membrane defect around the hole. The prognosis after the surgery was very poor, and the best corrected visual acuity was 0.08 after complete anatomical closure. In another patient, the MH showed insidious progression with disease-free interval from ICL implantation to MH onset. After the surgery, the best corrected visual acuity was recovered to 1.0.

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“…Based on the case reports and case series, the waiting period varies from a few weeks to 6 months [1, 71,72]. A close observation with periodic OCT reevaluation is probably safe and justified at least for 1-2 months, particularly for small macular holes (approximately 200 mm) and in presence of good vision (>20/50), irrespective of the cause [73]. Presence of afferent pupillary defect with traumatic macular hole also justifies initial observation to ascertain the contribution of optic neuropathy to visual loss.…”

Section: Surgical Modificationsmentioning

confidence: 99%