Scleral buckling in rhegmatogenous retinal detachment with concomitant full-thickness macular hole

Background and Objective: To evaluate full-thickness macular hole (MH) formation in the postoperative period after initial vitrectomy for rhegmatogenous retinal detachment (rRD). Materials and Methods: We retrospectively reviewed the medical records of 4 consecutive eyes that required additional vitrectomy for full-thickness MH between April 2013 and March 2016 after undergoing an initial vitrectomy for rRD. Results: Epiretinal membrane (ERM) was identified by preoperative optical coherence tomography or intraoperative dye staining in each case. Photocoagulation of retinal breaks prior to initial vitrectomy was performed in Cases 1, 2, and 3 (4–16 days), with yttrium-aluminum-garnet capsulotomy after cataract extraction also performed prior to the retinal break formation in Case 3. At the initial vitrectomy, there was a superior retinal break which crossed the equator in Case 2, and an intentional hole was created in Cases 1 and 4. The mean interval from the initial vitrectomy until MH formation was 27.5 ± 15.8 months. As with Case 2, the intervals in Cases 1 and 4, in which an intentional hole was created, were clearly shorter than in those in Case 3. Finally, MH closure was achieved after an additional vitrectomy (removal of the internal limiting membrane with ERM and gas tamponade) and best-corrected visual acuity improved in each case. Conclusion: ERM was identified in the cases examined in our study. The presence of an intentional hole might shorten the interval of MH formation after vitrectomy for rRD.

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Development of a full thickness macular hole after vitrectomy for rhegmatogenous retinal detachment: a sequential study via optical coherence tomography

BMC Ophthalmology ◽

10.1186/s12886-018-0932-x ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 1

Author(s):

Hsin-Yu Yang ◽

Chang-Sue Yang

Keyword(s):

Optical Coherence Tomography ◽

Retinal Detachment ◽

Macular Hole ◽

Rhegmatogenous Retinal Detachment ◽

Optical Coherence ◽

Full Thickness ◽

Sequential Study ◽

Full Thickness Macular Hole

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Rhegmatogenous retinal detachment and full-thickness macular hole induced by lightning

Malaysian Journal of Ophthalmology ◽

10.35119/myjo.v1i4.80 ◽

2020 ◽

Vol 1 (4) ◽

pp. 301-307

Author(s):

Qian Zhi Haw ◽

Francesca Martina Vendargon ◽

Kiet Phang Ling

Keyword(s):

Retinal Detachment ◽

Macular Hole ◽

Anterior Uveitis ◽

Rhegmatogenous Retinal Detachment ◽

Silicone Oil ◽

Hand Movement ◽

Posterior Vitreous Detachment ◽

Full Thickness ◽

Blurred Vision ◽

Full Thickness Macular Hole

A 31-year-old gentleman was remotely struck by lightning and complained of blurred vision in his left eye. He was diagnosed with left eye anterior uveitis and full-thickness macular hole (FTMH), and subsequently referred for vitreoretinal intervention. On examination, his left-eye vision was hand movement. Anterior uveitis had resolved with no cells in the anterior chamber. Posterior subcapsular cataract 2+ was noted. There was a FTMH and partial posterior vitreous detachment (PVD) confirmed by optical coherence tomography (OCT). Right eye was normal with 6/6 vision. At one- month follow-up, the macular hole was closed spontaneously but localised rhegmatogenous retinal detachment (RRD) was noted in the inferior retina with macula-on. There were multiple holes in the inferior equatorial region surrounded by hyper- and hypopigmented retinal atrophy. The patient underwent phacoemulsification, intraocular lens implantation, vitrectomy, and gas tamponade (C3F8 14%). At one week postoperative, he had recurrent retinal detachment with multiple new atrophic holes noted. He underwent a second vitrectomy with silicone oil tamponade. Best-corrected visual acuity (BCVA) in his left eye two months after surgery was 6/45 and the retina had reattached.

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Full-Thickness Macular Hole and Retinal Detachment Complicating Best's Disease

European Journal of Ophthalmology ◽

10.1177/112067219300300110 ◽

1993 ◽

Vol 3 (1) ◽

pp. 53-54 ◽

Cited By ~ 13

Author(s):

A. Glacet-Bernard ◽

G. Coscas

Keyword(s):

Retinal Detachment ◽

Macular Hole ◽

Laser Photocoagulation ◽

Macular Dystrophy ◽

Full Thickness ◽

Vitelliform Macular Dystrophy ◽

Unusual Association ◽

Full Thickness Macular Hole ◽

Best's Disease ◽

Best’S Disease

The unusual association of Best's vitelliform macular dystrophy and a full-thickness macular hole causing retinal detachment is reported. Successful reattachment was achieved with pneumatic retinopexy and postoperative laser photocoagulation. The mechanisms underlying the combination of full-thickness macular hole and retinal detachment in Best's disease remain to be elucidated.

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Full-Thickness Macular Hole Formation After Repair of Rhegmatogenous and Tractional Retinal Detachment

Journal of VitreoRetinal Diseases ◽

10.1177/2474126419854283 ◽

2019 ◽

Vol 3 (5) ◽

pp. 341-345

Author(s):

Matthew A. Cunningham ◽

Samantha Fink ◽

Jaya B. Kumar ◽

Elias C. Mavrofrides ◽

S.K. Steven Houston ◽

...

Keyword(s):

Retinal Detachment ◽

Macular Hole ◽

Case Series ◽

Vitreoretinal Surgery ◽

Visual Outcome ◽

Full Thickness ◽

Tractional Retinal Detachment ◽

Full Thickness Macular Hole ◽

Pars Plana

Purpose: This article reports the clinical features, associations, and outcomes of patients with full-thickness macular hole (MH) formation after pars plana vitrectomy for retinal detachment (RD). Methods: A retrospective, interventional case series is presented of consecutive patients undergoing surgical repair of MH following prior tractional or rhegmatogenous retinal detachment repair from September 2014 to October 2018 at a single vitreoretinal surgery practice. The size of the MH, presence of epiretinal membrane (ERM), rate of MH closure, and visual outcome following repair were evaluated. Results: A total of 996 cases of rhegmatogenous and tractional retinal detachment repair were identified. The average time from the RD surgery to MH diagnosis was 72 days. The incidence of subsequent MH formation in patients who underwent surgery was 0.8% (8/996). The presence of ERM prior to MH repair was noted in 50% of these cases (4/8). In cases with at least 3 months of postoperative follow-up, MH closure was achieved in 100% of eyes after a single surgery. The mean preoperative visual acuity (VA) was 2.06 logMAR (logarithm of the minimum angle of resolution) units (Snellen equivalent, 20/2296) and significantly improved to 0.72 logMAR units (Snellen, 20/104; P = .017) at the last follow-up after MH repair. All patients had improvement in VA at the final postoperative visit, with a VA of 20/200 or better achieved in 87.5% of cases. Conclusions: Although MH formation after successful RD repair is uncommon, favorable visual and anatomic results can be obtained.

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Standardized scleral buckling approach in the management of noncomplex primary rhegmatogenous retinal detachment

European Journal of Ophthalmology ◽

10.1177/1120672120940209 ◽

2020 ◽

pp. 112067212094020

Author(s):

Paolo Radice ◽

Elisa Carini ◽

Patrizio Seidenari ◽

Andrea Govetto

Keyword(s):

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Vision Loss ◽

Case Series ◽

Subretinal Fluid ◽

Scleral Buckling ◽

Full Thickness Macular Hole ◽

Air Tamponade ◽

Subretinal Fluid Drainage ◽

Anatomical Success

Purpose: To analyze the anatomical and functional outcomes of a standardized scleral buckling approach in patients with noncomplex primary rhegmatogenous retinal detachment (RRD). Methods: Retrospective institutional case series of 135 eyes of 131 patients diagnosed with noncomplex primary RRD. All patients underwent scleral buckling surgery with the placement of an encircling 5 mm oval sponge at 15 ± 2 mm posteriorly from the limbus, cryopexy, subretinal fluid drainage, and air tamponade. Results: Final anatomical success at 12 months was achieved in all 135 eyes (100%). Primary anatomical surgical success was obtained in 127 out of 135 eyes (94%), while re-detachment occurred in eight out of 135 cases (6%). Primary anatomical success was significantly lower in pseudophakic eyes ( p < 0.001). At the end of the follow-up period, no vision loss was observed in any patient and both sphere and cylinder refraction shift was mild. There was a low rate of postoperative complications. Nine out of 135 eyes (6.6%) developed full thickness macular hole, whether in 24 out of 135 eyes (17.8%) epiretinal membrane development was noticed. Conclusion: A standardized scleral buckling approach for primary noncomplex RRD may be effective. The technique is reproducible, easier, and quicker to perform if compared to classic scleral buckling procedures, suggesting that it may represent a valuable surgical option. Special care is needed in the management of pseudophakic RRD due to higher risk of RRD recurrence.

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Macular Hole Formation in Rhegmatogenous Retinal Detachment after Scleral Buckling

Korean Journal of Ophthalmology ◽

10.3341/kjo.2014.28.5.364 ◽

2014 ◽

Vol 28 (5) ◽

pp. 364 ◽

Cited By ~ 6

Author(s):

Ik Soo Byon ◽

Han Jo Kwon ◽

Gun Hyung Park ◽

Sung Who Park ◽

Ji Eun Lee

Keyword(s):

Retinal Detachment ◽

Macular Hole ◽

Rhegmatogenous Retinal Detachment ◽

Scleral Buckling ◽

Hole Formation ◽

Macular Hole Formation

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Full-thickness Macular Hole Formation in Proliferative Diabetic Retinopathy

10.21203/rs.3.rs-800887/v1 ◽

2021 ◽

Author(s):

MEI-CHI TSUI ◽

Yi-Ting Hsieh ◽

Tso-Ting Lai ◽

Chun-Ting Lai ◽

Hsuan-Chieh Lin ◽

...

Keyword(s):

Diabetic Retinopathy ◽

Retinal Detachment ◽

Macular Hole ◽

Proliferative Diabetic Retinopathy ◽

Full Thickness ◽

Subsequent Formation ◽

Full Thickness Macular Hole ◽

Different Types ◽

Before And After ◽

Type 3

Abstract BackgroundTo investigate the formation pathways of full-thickness macular hole (FTMH) in proliferative diabetic retinopathy (PDR) with fibrovascular proliferation (FVP).MethodsTwenty-one consecutive patients (21 eyes) having PDR and FVP with optical coherence tomography (OCT) available before and after FTMH formation were retrospectively reviewed. Fundus abnormalities and OCT features were studied.ResultsFour different types of FTMH formation pathways in PDR were observed. Type 1 was characterized by epiretinal membrane (ERM) and/or vitreomacular traction (VMT) inducing foveoschisis, intraretinal cysts or foveal detachment, followed by formation of a FTMH or macular hole retinal detachment (MHRD). In type 2, ERM and/or FVP induced lamellar macular hole (LMH) with foveoschisis, followed by the formation of FTMH or MHRD. Type 3 was characterized by the initial tractional retinal detachment (TRD) with foveal cysts and/or foveoschisis and the subsequent formation of MHRD. Type 4 was characterized by TRD associated with foveal thinning, ensued by the formation of MHRD. Severity and locations of FVP varied with different types. Eyes with MHRD had poorer best-corrected visual acuity, higher proportion of active FVP, and higher rate of TRD.ConclusionFour types of FTMH formation pathways in PDR were identified and were quite different from those in idiopathic conditions. Spontaneous closure of FTMHs in PDR might be observed. The activity, severity and locations of FVP varied in PDR eyes destined to develop FTMHs.

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