Bilateral recurrent macular holes.

Published online

Journal Article

Purpose: To report an unusual case of bilateral recurrent full-thickness macular holes (FTMH) in both eyes of a single patient over a 15-year period, with a total of 3 FTMH in the right eye and 2 in the left eye. Each FTMH was successfully treated with vitreous surgery, resulting in hole closure and visual acuity improvement. Observations: During the previous 15 years, a 59-year-old female developed a total of 3 FTMH in the right eye and 2 FTMH in the left eye. The initial FTMH in each eye was surgically closed with pars plana vitrectomy (PPV), epiretinal membrane (ERM) peeling, 14% C3F8 gas placement, and face down positioning. Subsequent recurrences of FTMH, 2 in the right and 1 in the left, were surgically closed with PPV and ERM peeling and/or indocyanine green-assisted internal limiting membrane peeling, 14% C3F8 gas placement, and face down positioning. Seven years following the last FTMH surgical closure, the patient's best-corrected visual acuity was 20/50 in the right eye and 20/32 in the left eye with no FTMH in either eye. Conclusions and importance: This case illustrates that a rare individual may have more than one recurrent FTMH in both eyes. Final visual outcome can be favorable following closure of more than one recurrent FTMH.

Full Text

Duke Authors

Cited Authors

  • Yoon, SP; Polascik, BA; Grewal, DS; Fekrat, S

Published Date

  • September 2018

Published In

Volume / Issue

  • 11 /

Start / End Page

  • 52 - 55

PubMed ID

  • 29946573

Pubmed Central ID

  • 29946573

Electronic International Standard Serial Number (EISSN)

  • 2451-9936

Digital Object Identifier (DOI)

  • 10.1016/j.ajoc.2018.05.008

Language

  • eng

Conference Location

  • United States