Rapid macular hole formation and closure in a vitrectomized eye following rhegmatogenous retinal detachment repair

Ranjan, Ratnesh; Manayath, George J; Avadhani, Udayasree; Narendran, Venkatapathy

doi:10.4103/ojo.ojo_35_2017

Cited by 2 publications

(1 citation statement)

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“…In contrast to idiopathic MH, secondary MH is caused by several factors, such as blunt trauma, uveitis, macular schisis, carcinoma, and surgery [ 2 , 3 ]. Surgical repair for rhegmatogenous retinal detachment (RRD) can cause full-thickness MHs (FTMHs), which are even more common after vitrectomy [ 4 – 6 ]. However, MH following scleral buckling (SB) for the treatment of RRD is relatively rare [ 7 ].…”

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confidence: 99%

Macular hole following scleral buckling for rhegmatogenous retinal detachment: a case series

Wang,

Zhu,

Yan

et al. 2024

BMC Ophthalmol

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Background Macular hole (MH) development following scleral buckling (SB) surgery for rhegmatogenous retinal detachment (RRD) repair is rare. This study presents both full-thickness MH (FTMH) and lamellar MH (LMH) cases following SB for the treatment of RRD. Methods Clinical records of patients undergoing SB surgery for treatment of RRD at the Xi’an People’s Hospital (Xi’an Fourth Hospital) from January 2016 to December 2021 were reviewed, and cases with postoperative MH were selected. Clinical features and follow-up data were summarised, and possible causes were analysed. Results Among 483 identified cases (483 eyes), four eyes (three male patients, one female patient) had postoperative MH, with prevalence, mean age, and mean axial length of 0.83%, 43.5 ± 10.66 years, and 29.13 ± 3.80 mm, respectively. All patients did not undergo subretinal fluid (SRF) drainage. The mean time for detecting MH was 26 ± 15.5 days postoperatively. Macula-off RRD with high myopia and FTMH combined with retinal re-detachment were diagnosed in three patients. One patient had macula-on RRD with outer LMH. The average follow-up duration was 7.25 ± 1.5 months. The FTMH closed successfully after reoperation, while the outer LMH closed without intervention. Visual acuity insignificantly improved or slightly decreased in all patients. Conclusions Patients with high myopia combined with macula-off RRD might be more susceptible to FTMH, causing MH related retinal detachment. Additionally, LMH following SB was noted in patients with macula-on RRD. Therefore, we should raise awareness of MH following SB for RRD repair.

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