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KMID : 0360220120530040597
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Journal of the Korean Ophthalmological Society
2012 Volume.53 No. 4 p.597 ~ p.601
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A Case of Secondary Macular Hole Formation after Phacoemulsification in a Vitrectomized Eye
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Yun Cheol-Min
Yang Sun-Mo
Kim Seong-Woo
Oh Jae-Ryung
Huh Kuhl
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Abstract
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Purpose: To report a case of secondary macular hole formed after phacoemulsification in a vitrectomized eye which was treated with macular hole surgery.
Case summary: A 53-year-old man with a history of pars plana vitrectomy developed a cataract in his left eye.
Uncomplicated cataract surgery involving phacoemulsification with posterior chamber intraocular lens implantation was
performed. At his routine 3-month post-operative visit, he reported metamorphopsia. Fundus examinations and optical coherence tomography revealed a cystoid macular edema and a full thickness macular hole. He underwent repair of the macular hole including internal limiting membrane peeling and gas injection. Three months later, post-operative examinations showed anatomical closure of the macular hole.
Conclusions: When performing cataract surgery, even in a previously vitrectomized eye, clinicians should be aware of the possibility of cystoid macular edema. A thorough pre- and post-operative assessment, including fundus examinations and optical coherence tomography must be carefully performed in order to detect a macular hole associated with cystoid macular edema. And prompt treatment is required when a macular hole is detected.
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KEYWORD
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Cataract surgery, Cystoid macular edema, Macular hole, Vitrectomized eye
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