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KMID : 0360220140550050775
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Journal of the Korean Ophthalmological Society
2014 Volume.55 No. 5 p.775 ~ p.779
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Delayed Closure of Idiopathic Macular Hole after Vitrectomy, Internal Limiting Membrane Peeling, and Gas Tamponade
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Lee Jong-Heon
Kim Ho-Yun
Park Sung-Who
Lee Ji-Eun
Byon Ik-Soo
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Abstract
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Purpose: To report a case of delayed idiopathic macular hole closure after vitrectomy, internal limiting membrane peeling, and gas tamponade.
Case summary: A 69-year-old female complained of visual disturbance in her left eye. At presentation, her visual acuity was 20/100 in the left eye. Fundus examination and optical coherence tomography revealed a full-thickness macular hole 489 μm in diameter as well as posterior vitreous detachment. Hence, vitrectomy, concurrent cataract surgery, internal limiting membrane peeling and gas tamponade were performed. One month postoperatively, the hole remained unclosed, although decreased in size to 378 μm. At 2 months, cystoid macular edema developed and postoperatively the hole diameter decreased gradually to 311 μm, 252 μm and 156 μm at 2, 3, and 5 months, respectively. Finally, the hole was closed upon the resolution of macular edema at 9 months. However, the visual acuity of 20/100 remained unchanged.
Conclusions: Delayed closure of holes which may be related to cystoid macular edema, can develop after macular hole surgery.
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KEYWORD
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Delayed closure, Idiopathic macular hole
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