Sustained closure of surgically repaired macular holes after retinal detachment with submacular fluid.

Journal Article

Purpose

To examine the behavior of surgically repaired macular holes when subsequent retinal detachment with submacular fluid develops and to correlate these observations with current theories of macular hole formation and closure.

Methods

We reviewed the medical records of four patients who underwent successful surgical closure of macular holes and subsequently developed rhegmatogenous retinal detachment with macular involvement.

Results

No reopening of the original macular hole occurred in any of the four patients. No focal macular attachment was seen that would suggest firm adherence of the macular hole edges to the underlying retinal pigment epithelium.

Conclusions

When retinal detachment with submacular fluid develops in patients with a successfully closed macular hole, sustained closure of the macular dehiscence is typically seen. These findings support reapproximation of the hole edges with an associated retinal wound healing response as the mechanism of hole closure.

Full Text

Duke Authors

Cited Authors

  • Hainsworth, DP; Johnson, MW; Jaffe, GJ

Published Date

  • March 1997

Published In

Volume / Issue

  • 123 / 3

Start / End Page

  • 364 - 369

PubMed ID

  • 9063246

Pubmed Central ID

  • 9063246

Electronic International Standard Serial Number (EISSN)

  • 1879-1891

International Standard Serial Number (ISSN)

  • 0002-9394

Digital Object Identifier (DOI)

  • 10.1016/s0002-9394(14)70132-1

Language

  • eng