Post traumatic horseshoe-shaped macular tear

Goel, Neha; Sharma, Ravi; Mandal, Madhullika; Choudhry, Reena

doi:10.4103/0301-4738.146735

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…Horseshoe-shaped macular tears are rare, and the size of the tear is usually relatively large at 0.75 to 1.5 DDs. [ 1 2 3 4 ] It has been reported that severe traction by the vitreous on the retina leads to the macular tears in cases of branch retinal vein occlusion[ 3 ] and idiopathic[ 4 ] horseshoe-shaped macular tears. Karaca et al .…”

Section: Discussionmentioning

confidence: 99%

“…reported a case of surgical intervention for the closure of a macular tear. [ 2 ] The inverted ILM flap technique was recently recommended for the treatment for large traumatic MHs, and this technique led to 100% closure rate. [ 8 ] We suggest that because a larger ILM flap was needed to cover the MH, this allowed the underlying retina to stretch more easily.…”

Section: Discussionmentioning

confidence: 99%

“…Several cases of an unusual tear called a “horseshoe-shaped macular tear“ have been reported. [ 1 2 3 4 ] These tears can be caused by blunt trauma that leads to a sudden traction by the vitreous on the retina leading to the macular tear. We report a case that had horseshoe-shaped macular tears bilaterally that developed without vitreous traction.…”

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confidence: 99%

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Development of traumatic bilateral horseshoe-shaped macular tear without vitreous traction: Case report

Mito

Joko

Shiraishi

2020

Indian J Ophthalmol

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To report our findings in a case with bilateral horseshoe-shaped macular tears. Both eyes of a 68-year-old woman developed horseshoe-shaped macular tears in the absence of vitreous traction due to prior vitrectomy in one eye and a posterior vitreous detachment in the other eye. Vitrectomy with the inverted internal limiting membrane flap technique led to a successful closure of the macular tear bilaterally, and an improvement of her visual acuity in both eyes. The cause of horseshoe-shaped macular tear was most likely due to a retinal rupture from a blunt trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Development of traumatic bilateral horseshoe-shaped macular tear without vitreous traction: Case report

Mito

Joko

Shiraishi

2020

Indian J Ophthalmol

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“…The cases with retinal hole or tear following BRVO or blunt ocular trauma have been previously reported. 1 – 3 In 1997, Ikuno et al 5 reported that the differentiation between two types of retinal breaks that occur after BRVO in eyes with retinal detachment could be defined as retinal holes with or without vitreoretinal traction. In 2003, Leibovitch et al 6 reported finding lamellar MH due to macular edema following BRVO.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, only a few cases with macular tear have been reported in the literature ( Table 1 ). 1 – 3 In these reported cases, secondary macular tear was observed after branch retinal vein occlusion (BRVO) or blunt ocular trauma. At the present time, however, there have been no reports of an idiopathic macular tear.…”

Section: Introductionmentioning

confidence: 99%

Idiopathic horseshoe-like macular tear: a case report

Kubota¹,

Shibata²,

Gunji³

et al. 2016

IMCRJ

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BackgroundAlthough a few cases with idiopathic horseshoe-like macular tear have been reported, the mechanism remains unknown and a standard treatment has yet to be determined.ObjectiveTo report the outcome for a patient with idiopathic horseshoe-like macular tear who underwent vitreous surgery.Case reportA 65-year-old man with no previous injury or ophthalmic disease presented with abnormal vision in his left eye. Best-corrected visual acuity was 0.8 in the right and 0.3 in the left, and the relative afferent pupillary defect was negative. Ophthalmoscopy revealed a horseshoe-like tear on the temporal side of the macula in the left eye. The tear size was 0.75 disc diameters (DD). Optical coherence tomography showed that the focal retinal detachment reached the fovea. A few days after the first visit, there was no longer adhesion of the flap of the tear to the retina and the tear size had increased to 1.5 DD. The patient underwent vitreous surgery similar to large macular hole surgery, with the tear closure repaired using the inverted internal limiting membrane flap technique with 20% SF6 gas tamponade. Although the tear decreased to 0.5 DD after the surgery, complete closure of the tear was not achieved.ConclusionWhile cases with horseshoe-like macular tear following trauma and branch retinal vein occlusion have been reported, to the best of our knowledge, this is the first reported idiopathic case. In the present case, there was expansion of the tear until the patient actually underwent surgery. If vertical vitreous traction indeed plays a role in horseshoe-like macular tears, this will need to be taken into consideration at the time of the vitreous surgery in these types of cases.

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A human amniotic membrane plug to repair retinal detachment associated with large macular tear

Caporossi

Tartaro

Angelis

et al. 2019

Acta Ophthalmologica

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Purpose: To describe a surgical technique, using a human amniotic membrane (hAM) plug, in two cases of retinal detachment with a large macular tear. Methods: Surgical technique description with surgical video. A 23-gauge pars plana vitrectomy with peripheral retinectomy was performed. An hAM plug was implanted under the neuroretina to seal the posterior retinal break. Standard silicone oil tamponade was performed at the end of the surgery. The patients were positioned face down after the operation for the first 2 weeks. Optical coherence tomography (OCT) scans were performed in the follow-ups. Results: The 1 week postoperative OCT showed a neuroretina ingrowth over the hAM plug. The 3-month OCT showed a regenerated neurosensory retina entirely covering the hAM plug. Visual acuity improved from light perception to 20/400 (LogMAR 1,3) 3 months after the operation in both patients. The silicone oil was extracted 4 months after surgery, and no recurrences were observed. The patients' visual acuity remained stable at 20/400 after the silicone oil extraction. Conclusion: In these complex cases, hAM transplantation can be a valid option not only to help the retinal reattachment but also for a partial regenerative effect which, in these cases, was accompanied by a visual acuity recovery.

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Post traumatic horseshoe-shaped macular tear

Cited by 5 publications

References 5 publications

Development of traumatic bilateral horseshoe-shaped macular tear without vitreous traction: Case report

Development of traumatic bilateral horseshoe-shaped macular tear without vitreous traction: Case report

Idiopathic horseshoe-like macular tear: a case report

A human amniotic membrane plug to repair retinal detachment associated with large macular tear

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