A rare case of choroidal neovascularization following macular hole surgery

Natarajan, Sundaram; Mehta, Hitendra; Mahapatra, S. K.; Sharma, Sumita

doi:10.1007/s00417-005-0004-9

Cited by 14 publications

(14 citation statements)

References 9 publications

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“…Focal laser photocoagulation or photodynamic therapy has been used to treat CNV arising after macular hole surgery 3,6. In the present report, ranibizumab was used to treat the occult CNV.…”

Section: Discussionmentioning

confidence: 81%

“…This means that pre-existing senile change is not the sole etiologic factor. Another possible explanation is trypan blue toxicity, which was used for ILM staining 3. In the present study, ICG dye was used for the ILM staining and peeling.…”

Section: Discussionmentioning

confidence: 97%

“…A few cases of choroidal neovascularization (CNV) after successful macular hole surgery have been reported in the literature 3–6. We report a case that developed an atypical form of occult CNV after an otherwise successful macular hole surgery, and was treated using intravitreal injection of ranibizumab.…”

Section: Introductionmentioning

confidence: 97%

“…However, vision-threatening complications such as retinal detachment, cystoid macular edema, and endophthalmitis can occur in some patients after macular hole surgery 1–3…”

Section: Introductionmentioning

confidence: 99%

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Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab

Oh¹,

Lee²,

Kim³

et al. 2012

OPTH

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PurposeTo report on a case that developed an atypical form of occult choroidal neovascularization (CNV) after successful macular hole surgery.MethodsVisual acuity change, color fundus photographs, fluorescein and indocyanine green angiograms, and optical coherence tomography results were compared throughout the follow-up duration.PatientsA 64-year-old woman with a macular hole in the right eye and drusen in both eyes underwent pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade. One month after the operation she developed occult CNV, in which pigment epithelial detachment and fine retinal pigment epithelial (RPE) layer wrinkles were observed under the completely sealed macular hole. After 3-monthly intravitreal injections of ranibizumab, the lesion did not change significantly.ConclusionCNV can develop after otherwise successful macular hole surgery, especially in patients with pre-existing aging changes in the macula, such as drusen. Care should be taken in such patients, to prevent the development of CNV after macular hole surgery.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

“…However, vision-threatening complications such as retinal detachment, cystoid macular edema, and endophthalmitis can occur in some patients after macular hole surgery 1–3…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab

Oh¹,

Lee²,

Kim³

et al. 2012

OPTH

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“…4–6 One of the main difficulties of microsurgery is to learn how to control physiological tremor. Pneumatic accessories, like forceps and scissors, have been developed by Alcon- Grieshaber.…”

Section: Resultsmentioning

confidence: 99%

Pneumatic tools for vitreoretinal surgery

Romano

Vallejo-Garcia

Randazzo

et al. 2012

OPTH

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One of the difficulties of microsurgery is learning how to control physiological tremors. The pneumatic tool eliminates the physiological tremor, but no tactile feedback is provided. The manual tremor when closing the forceps is completely eliminated and the exact target can be more easily grabbed. Forceps closure pressure can rise up to 50 psi, whereas the scissors can be used in two modes: multicut and proportional. When performing bimanual surgery the pedal range is divided into two steps: in the first step, the forceps are controlled, and in the second step, the forceps remain closed. At the same time the scissors start to work in the preselected mode. No adverse events occurred and no iatrogenic retinal breaks were produced. Precision and control sensation were a grateful surprise.

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