Rapid Macular Hole Formation, Spontaneous Closure, and Reopening After Pars Plana Vitrectomy for Macula-Sparing Retinal Detachment

Sridhar, Jayanth; Townsend, Justin H.; Rachitskaya, Aleksandra

doi:10.1097/icb.0000000000000319

Cited by 10 publications

(4 citation statements)

References 12 publications

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“…There have been several reports of a MH that developed in vitrectomized eyes, however only a limited number of cases had a recurrence of a MH after a spontaneous closure (Figure 1). [10][11][12][13][14][15] The mechanism causing the MH formation after vitrectomy has not been definitively determined. Earlier studies have suggested two possible mechanisms: the formation of an epiretinal membrane (ERM) which exerts tangential traction on the foveal retina and causes the development of a MH.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9] It has also been reported that a spontaneous closure and recurrence of an MH can occur in a previously vitrectomized eye. [10][11][12][13][14][15] The associations of an epiretinal membrane (ERM) or an epiretinal proliferation (EP) with the development and closure of FTMH and lamellar macular hole (LMH) have been intensively studied by several researchers. 16,17 We report our findings in a patient who underwent a successful vitrectomy for a vitreous hemorrhage (VH) associated with a retinal tear.…”

Section: Introductionmentioning

confidence: 99%

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Case of Spontaneous Closure and Recurrence of Macular Hole in Vitrectomized Eye

Komi,

Katsumoto,

Yoshikawa

et al. 2023

IMCRJ

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Rationale Development and spontaneous closure of a macular hole (MH) in a vitrectomized eye is relatively rare. We report our findings in a case in which vitrectomy was performed successfully to treat a vitreous hemorrhage (VH), but a MH developed eight months later. The MH spontaneously closed 2 weeks later, but then reopened. A second vitrectomy was performed with insertion of the internal limiting membrane flap into the MH which led to the successful closure of the MH. The purpose of this article is to present an explanation of how MH developed in this eye without vitreous traction. Patient A 64-year-old woman visited an eye clinic with vision reduction in her right eye of 3 days duration. A VH was detected in the right eye and pars plana vitrectomy (PPV) was performed. A retinal tear was detected which was the origin of the VH. The vision was restored to a decimal visual acuity of 1.2. Eight months later, the patient noticed that her vision was distorted and was referred to our hospital. Diagnosis Optical coherence tomographic (OCT) images showed a thin epiretinal membrane on the macula, cystoid changes in the macular area, and a full-thickness MH. Interventions The MH closed spontaneously in two weeks, however a lamellar MH with an epiretinal proliferation (EP) developed 11 months later. Two months later, OCT showed cyst-like changes in the retina and a full-thickness MH. A second PPV was performed with the insertion of the ILM flap and EP into the MH to close the MH. Her visual acuity improved, and distorted vision was not present. Lessons Clinicians should be aware that a MH can develop in a vitrectomized eye without vitreous traction but can close spontaneously. We conclude that careful follow-up examinations are necessary even in vitrectomized eyes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Case of Spontaneous Closure and Recurrence of Macular Hole in Vitrectomized Eye

Komi,

Katsumoto,

Yoshikawa

et al. 2023

IMCRJ

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“…[ 1 ] Degenerative changes and thinning of the macula have been reported in long-standing macula-off RRD due to hypoxia and deficiency of nutrients provided by retinal pigment epithelium–choriocapillaris complex, which may also predispose to MH formation. [ 6 7 ] This explains the fact that MH formation following RRD repair is more common in macula-off cases. [ 1 ] Similarly, our case also had a long-standing macula-off RRD with a duration of 3 months.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…We specifically identify our case as unique, as to our knowledge it is the sole example of multiple spontaneous openings and closures of an MH in a vitrectomized eye not requiring additional intervention. 9,10 There was no presence of any vitreoretinal interface abnormality as revealed by macular OCT imaging.…”

Section: Introductionmentioning

confidence: 93%

Recurrent Spontaneous Macular Hole Formation and Resolution in a Patient With Previous Vitrectomy

Massamba

Chin

Almeida³

2020

Journal of VitreoRetinal Diseases

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Purpose: We report a case of recurrent macular hole (MH) formation and spontaneous closure in the absence of any vitreoretinal interface abnormality. Methods: A 49-year-old man presented for his annual ocular examination with no specific ocular complaints. He had a history of retinal detachment in the left eye, which was treated years prior with vitrectomy and scleral buckle. During a routine follow-up, the patient was discovered to have a full-thickness MH. Optical coherence tomography revealed the formation of an MH with spontaneous closure after 3 months without intervention. One month later, the MH recurred but once again closed spontaneously over 4 months. Results: The patient remained asymptomatic during the entire follow-up without any symptoms, vision changes, or therapeutic intervention. Conclusions: To our knowledge, this is the first known case report of recurrent spontaneous opening and closure of an MH in the absence of any vitreoretinal interface abnormality, as revealed by macular optical coherence tomography imaging.

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Rapid Macular Hole Formation, Spontaneous Closure, and Reopening After Pars Plana Vitrectomy for Macula-Sparing Retinal Detachment

Cited by 10 publications

References 12 publications

Case of Spontaneous Closure and Recurrence of Macular Hole in Vitrectomized Eye

Case of Spontaneous Closure and Recurrence of Macular Hole in Vitrectomized Eye

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

Recurrent Spontaneous Macular Hole Formation and Resolution in a Patient With Previous Vitrectomy

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