scholarly journals Large, Spontaneous Macular Hole with Posterior Pole Detachment in a Patient with Best Vitelliform Macular Dystrophy

2019 ◽  
Vol 10 (2) ◽  
pp. 221-226
Author(s):  
Shamfa Peart ◽  
Amoy Ramsay ◽  
Qazi Assad Khan ◽  
Tony Leong ◽  
Patel Gordon-Bennett
Keyword(s):  
Macular Hole ◽  
Silicone Oil ◽  
Internal Limiting Membrane ◽  
Posterior Pole ◽  
Macular Dystrophy ◽  
Full Thickness ◽  
Vitelliform Macular Dystrophy ◽  
Best Vitelliform Macular Dystrophy ◽  
Full Thickness Macular Hole ◽  
History Of

Purpose: To describe the visual and anatomical outcomes in a patient with a full-thickness macular hole and Best vitelliform macular dystrophy. Methods: The authors present a case of a large spontaneous macular hole with associated posterior pole detachment in a patient with a history of Best vitelliform macular dystrophy including clinical course and surgical outcome. Patient: The patient presented with a history of blurred central vision. He was known to have Best vitelliform macular dystrophy. Examination revealed BCVA 6/36 (0.78 logMAR) and a full-thickness macular hole (1,102 µm) with a shallow posterior pole detachment extending to the vascular arcades. He underwent phacovitrectomy with silicone oil tamponade. Internal limiting membrane (ILM) peel was prohibited due to a very adherent posterior hyaloid membrane (PHM). Results: The patient developed type 2 closure. He had oil removal in 14 months combined with PHM and ILM peel. Two months postoperatively, he had further reduction of the foveal defect and the retina remained flat. Final BCVA was 6/24 (0.60 logMAR). Conclusion: Macular holes with Best disease are rare and are thought to be due to rupture of a cyst in the vitelliform stage or atrophy in later stages. This case outlines that closure of the macular hole, flattening of the detachment, and improvement in visual acuity is possible with vitrectomy and ILM peeling.

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

1993 ◽  
Vol 3 (1) ◽  
pp. 53-54 ◽  
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.

Intraoperative OCT of a Full-Thickness Macular Hole Before and After Internal Limiting Membrane Peeling

2010 ◽  
Vol 41 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Charles C. Wykoff ◽  
Audina M. Berrocal ◽  
Amy C. Schefler ◽  
Stephen R. Uhlhorn ◽  
Marco Ruggeri ◽  
...  
Keyword(s):  
Macular Hole ◽  
Internal Limiting Membrane ◽  
Full Thickness ◽  
Internal Limiting Membrane Peeling ◽  
Membrane Peeling ◽  
Full Thickness Macular Hole ◽  
Before And After ◽  
Intraoperative Oct

scholarly journals Full-Thickness Macular Hole Formation in the Postoperative Period After Initial Vitrectomy for Rhegmatogenous Retinal Detachment

2017 ◽  
Vol 8 (3) ◽  
pp. 595-601 ◽  
Author(s):  
Hirotsugu Takashina ◽  
Akira Watanabe ◽  
Hiroshi Tsuneoka
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Postoperative Period ◽  
Rhegmatogenous Retinal Detachment ◽  
Yttrium Aluminum Garnet ◽  
Cataract Extraction ◽  
Internal Limiting Membrane ◽  
Full Thickness ◽  
Retinal Break ◽  
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.

Arc flash macular hole

2020 ◽  
pp. 112067212097623
Author(s):  
Ruminder Kaur ◽  
Prateek Koul
Keyword(s):  
Laser Beam ◽  
Macular Hole ◽  
Electric Shock ◽  
Light Exposure ◽  
Full Thickness ◽  
Bright Flash ◽  
Macular Holes ◽  
Full Thickness Macular Hole ◽  
History Of ◽  
Arc Flash

Macular holes are common. Lightening, direct electric shock induced and laser beam induced macular holes are though rare. Reporting a case of spark flashlight (Arc Flash) induced macular hole in an electrician, which has never been reported. A 19 year old male electrician by profession presented to our clinic with a history of exposure to a bright flash light from spark of wires while at work that led to decrease of vision in his both eyes. Examination revealed a full thickness macular hole in his right eye and loss of foveal photoreceptors in the left eye. Arc flash light exposure in electricians can lead to macular holes too adding a new entity to the already existing types of macular holes.

scholarly journals Comparison of Three Different Techniques of Inverted Internal Limiting Membrane Flap in Treatment of Large Idiopathic Full-Thickness Macular Hole

2019 ◽  
Vol Volume 13 ◽  
pp. 2599-2606 ◽  
Author(s):  
Fariba Ghassemi ◽  
Hassan Khojasteh ◽  
Alireza Khodabande ◽  
Lauren A Dalvin ◽  
Mehdi Mazloumi ◽  
...  
Keyword(s):  
Macular Hole ◽  
Internal Limiting Membrane ◽  
Full Thickness ◽  
Full Thickness Macular Hole
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