MACULAR HOLE FORMATION AND CLOSURE AFTER CATARACT EXTRACTION AND Nd:YAG CAPSULOTOMY IN A VITRECTOMIZED EYE WITH AN EPIRETINAL MEMBRANE.

Published

Journal Article

BACKGROUND: Vitreomacular traction and degeneration of the inner retinal layers of the fovea are considered contributing factors to idiopathic macular hole (MH) formation. This case report illustrates a rare scenario of MH formation and spontaneous closure associated with an epiretinal membrane (ERM) and perifoveal cystoid edema without anteroposterior traction from the vitreous in a previously vitrectomized eye. METHODS: A case report following MH clinical progression with visual acuity and serial optical coherence tomography. RESULTS: A 47-year-old high myope underwent scleral buckle placement and pars plana vitrectomy for a macula-off, phakic, inferior retinal detachment with a giant retinal tear and proliferative vitreoretinopathy 2.5 years ago with eventual visual acuity of 20/20. Postoperatively, an ERM developed, and uncomplicated phacoemulsification cataract extraction was later performed. One week after Nd:YAG capsulotomy, a full-thickness MH formed (with perifoveal cystoid macular edema) that spontaneously resolved 2 months later with return of vision to 20/20. CONCLUSION: After vitrectomy, anteroposterior vitreofoveal traction no longer contributes to MH formation. Perifoveal cystoid macular edema as well as tangential traction from ERMs may contribute to MH formation.

Full Text

Duke Authors

Cited Authors

  • Chau, FY; Fekrat, S

Published Date

  • 2009

Published In

Volume / Issue

  • 3 / 2

Start / End Page

  • 210 - 211

PubMed ID

  • 25391078

Pubmed Central ID

  • 25391078

International Standard Serial Number (ISSN)

  • 1935-1089

Digital Object Identifier (DOI)

  • 10.1097/ICB.0b013e3181658c93

Language

  • eng

Conference Location

  • United States