scholarly journals Formation of full thickness macular hole following pars plana vitrectomy and ILM peeling and its spontaneous closure

2020 ◽  
Author(s):  
Christina S Lim ◽  
Abdul El-Khayat ◽  
Aashish Mokashi
Keyword(s):  
Macular Hole ◽  
Pars Plana Vitrectomy ◽  
Spontaneous Closure ◽  
Full Thickness ◽  
Ilm Peeling ◽  
Full Thickness Macular Hole ◽  
Pars Plana

scholarly journals Spontaneous formation and closure of full thickness macular hole in a vitrecto-mised eye : a case report

2018 ◽  
Vol 9 (2) ◽  
pp. 199-202
Author(s):  
Rajya Laxmi Gurung
Keyword(s):  
Case Report ◽  
Macular Hole ◽  
Male Patient ◽  
Pars Plana Vitrectomy ◽  
Spontaneous Closure ◽  
Rare Entity ◽  
Full Thickness ◽  
Spontaneous Formation ◽  
Full Thickness Macular Hole ◽  
Pars Plana

The exact pathogenesis of macular hole (MH) is controversial with most of the cases being idiopathic. Trauma is an important cause of secondary MH formation. MH post Pars Plana Vitrectomy (PPV) is an even rare entity with only a handful of cases reported so far ( Kumagai et al, 2008; Smiddy W.E, 1993; Kimura et al, 2005). An even rarer event is spontaneous closure of post PPV full thickness macular hole (FTMH), though spontaneous closure of traumatic macular hole (TMH) has been reported before. Herein, we report a 26 year old male patient who developed FTMH post PPV that closed spontaneously.

scholarly journals Missing Internal Limiting Membrane during Macular Hole Repair in Alport Syndrome

2021 ◽  
pp. 320-323
Author(s):  
Sarah G. Chaudhry ◽  
Gerald Liew ◽  
Adrian T. Fung
Keyword(s):  
Macular Hole ◽  
Pars Plana Vitrectomy ◽  
Alport Syndrome ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Internal Limiting Membrane ◽  
Ilm Peeling ◽  
Full Thickness Macular Hole ◽  
Pars Plana ◽  
Vitrectomy Surgery

The aim of this manuscript is to describe a novel retinal finding of Alport syndrome during surgical management of an associated macular hole. A retrospective chart review of a 65-year-old man with a diagnosis of Alport syndrome confirmed by renal biopsy was found to have an associated full-thickness macular hole. Pars-plana vitrectomy surgery with internal limiting membrane (ILM) peeling was attempted, but intraoperatively the ILM was found to be absent at the macula. Alport syndrome may be associated with the absence of the ILM. This can complicate attempts at macular hole repair.

scholarly journals Development of Stage 4 Macular Hole after Spontaneous Closure in a Patient with Stage 2 Macular Hole and a Lamellar Macular Hole-Associated Epiretinal Proliferation

2021 ◽  
pp. 481-484
Author(s):  
Masahisa Watanabe ◽  
Harumasa Yokota ◽  
Hiroshi Aso ◽  
Hirotsugu Hanazaki ◽  
Junya Hanaguri ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Macular Hole ◽  
Spontaneous Closure ◽  
Surgical Removal ◽  
Lamellar Macular Hole ◽  
Full Thickness ◽  
Stage 4 ◽  
Full Thickness Macular Hole ◽  
The Right ◽  
Hole Closure

Herein, we report the longitudinal observation of a case with reopening of the macular hole associated with a lamellar macular hole-associated epiretinal proliferation (LHEP) followed by spontaneous closure in patients with stage 2 idiopathic macular hole. A 64-year-old woman was referred for the decreased visual acuity (VA) and acute anorthopia in the right eye. Funduscopy and optical coherence tomography (OCT) showed stage 2 full-thickness macular hole without posterior vitreous detachment (PVD) and operculum formation. Her best-corrected visual acuity (BCVA) was 20/32. One month later, the diameter of the macular hole was getting small and VA improved. Six months later, the macular hole was treated spontaneously with the attached hyaloid membrane to the macula by OCT and the BCVA improved to 20/20. Fourteen months after the first visit, the BCVA decreased to 20/50 and the patient was diagnosed with stage 4 macular hole with complete PVD. OCT showed full-thickness macular hole with a LHEP in the right eye. After 25G-gauge vitrectomy with the peeling of internal limiting membrane (ILM) and LHEP, the macular hole was closed and BCVA finally improved to 20/25. Spontaneous macular hole closure without PVD may rarely occur in patients with LHEP. The surgical removal of ILM and LHEP may contribute to the successful macular hole closure after vitrectomy.

scholarly journals Spontaneous closure of a chronic full thickness macular hole after failed surgery

2019 ◽  
Vol 13 ◽  
pp. 59-61 ◽  
Author(s):  
Jennifer Lee ◽  
Vincent Q. Nguyen ◽  
Mallika K. Doss ◽  
Andrew W. Eller
Keyword(s):  
Macular Hole ◽  
Spontaneous Closure ◽  
Full Thickness ◽  
Full Thickness Macular Hole ◽  
Failed Surgery

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

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.

scholarly journals Characteristics and Risk Factors for Spontaneous Closure of Idiopathic Full-Thickness Macular Hole

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Xida Liang ◽  
Wu Liu
Keyword(s):  
Risk Factors ◽  
Macular Hole ◽  
Case Reports ◽  
Primary Treatment ◽  
Small Sample ◽  
Spontaneous Closure ◽  
Full Thickness ◽  
Macular Holes ◽  
Pubmed Database ◽  
Full Thickness Macular Hole

Idiopathic full-thickness macular hole is a severe visual impairment disease. Pars plana vitrectomy remains the primary treatment option for idiopathic full-thickness macular holes, and over 90% idiopathic full-thickness macular holes are closed by vitrectomy surgery. However, the full-thickness macular hole may close spontaneously, with a good visual acuity progress. Since recent studies are small-sample studies and case reports, the characteristics for spontaneous closure of idiopathic full-thickness macular holes are not fully understood. Here, we review the articles in PubMed database from 1999 to 2018 and discuss the characteristic and the risk factors, especially OCT structure features, for spontaneous closure of idiopathic full-thickness macular holes.

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