Macular Hole Formation in Rhegmatogenous Retinal Detachment after Scleral Buckling

Byon, Ik Soo; Kwon, Han Jo; Park, Gun Hyung; Park, Sung Who; Lee, Ji Eun

doi:10.3341/kjo.2014.28.5.364

Cited by 13 publications

(19 citation statements)

References 23 publications

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“…In cystoid macular oedema and during early stages of macular hole formation, fluid‐filled cysts may be present in the foveola resulting in a detachment of the inner Müller cell layer; the detached Müller cell layer often keeps the foveal walls together (Gass ; Byon et al. ). Disruption of the inner Müller cell layer of the foveola results in the formation of full‐thickness macular holes (Gass ).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous closure of small full‐thickness macular holes: Presumed role of Müller cells

Bringmann

Duncker²,

Jochmann

et al. 2019

Acta Ophthalmologica

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Purpose: To document with spectral domain optical coherence tomography the formation and spontaneous closure of small full-thickness macular holes and to propose the active role of M€ uller cells in macular hole closure. Methods: A retrospective case series of five patients with spontaneous closure of macular holes is reviewed. In one patient, foveal images were recorded over a period of 18 months. Results: In a 66-year-old man, vitreofoveal traction caused a detachment of the inner M€ uller cell layer of the foveola from the outer nuclear layer (ONL) which was associated with a large pseudocyst and a horizontal gap in the central ONL. The traction caused an elongation and subsequent disruption of the stalk of the M€ uller cell cone in the foveola. A small full-thickness macular hole developed when a portion of the inner M€ uller cell layer of the foveola was pulled out. After phacoemulsification and shortly before the subsequent spontaneous closure of the hole, there were rapid increases in the number and size of the cystic cavities in the foveal walls resulting in a narrowing of the hole. The hole closed by bridging the gap in the inner part of the central ONL; a new inner M€ uller cell layer of the foveola was formed, and the gap of the external limiting membrane (ELM) was closed. The cystic cavities in the foveal walls rapidly disappeared within 2 weeks after the closure of the hole. One to 2.5 months after hole closure, the thickness of the central ONL increased which decreased the distance between the central ELM and retinal pigment epithelium. In three of the four other patients, the hole also closed by bridging the gap in the inner part of the ONL. Conclusion: It is suggested that the spontaneous closure of small macular holes and the subsequent reconstruction of the normal foveal structure are mediated by active mechanisms of M€ uller cells which resemble those involved in ontogenetic foveal development.

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Section: Introductionmentioning

confidence: 99%

Spontaneous closure of small full‐thickness macular holes: Presumed role of Müller cells

Bringmann

Duncker²,

Jochmann

et al. 2019

Acta Ophthalmologica

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“…assumed previous PVD and macular-off RRD causing fragility of the foveal tissue and following phagocytosis of damaged foveal tissue result in macular hole formation. [ 12 ] It is not known whether PVR may play a role in subsequent FTMH after recurrent RRD. The PVR may have contributed to the residual tractional forces following vitrectomy for RRD repair that may have been responsible for macular hole formation.…”

Section: Discussionmentioning

confidence: 99%

Perfluorocarbon liquid-assisted inverted inner limiting membrane-flap for large macular hole after recurrent rhegmatogenous retinal detachment

Sborgia

Niro²,

D’Oria³

et al. 2021

Taiwan J Ophthalmol

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A 45-year-old Caucasian myopic woman with a severe vision impairment (20/320) in the left eye due to a macula-off rhegmatogenous retinal detachment (RRD) underwent vitrectomy with silicone oil tamponade followed by an inferior relaxing retinectomy with heavy silicone oil tamponade during the second procedure for recurrence of RRD due to proliferative vitreoretinopathy. Four weeks after the second surgery, visual acuity was 20/200 and the patient complained metamorphopsia in the same eye due to a large full-thickness macular hole. A perfluorocarbon liquid-assisted inverted inner limiting membrane-flap technique was performed. Visual acuity improved to 20/80 after closing of macular hole and partial recovery of outer retinal layers at 3 months from the last surgery.

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“…Secondary MH formation following RRD repair surgery was first documented in 1988 [ 1 ]. This rare phenomenon carried prevalence varying from 0.32 to 0.96% [ 2 ]. Macular-off RRD and repeated surgery for RRD seemed to be important risk factors of this phenomenon [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Tangential traction caused by PVD [ 2 ], residual vitreous, and ERM were thought to cause anteroposterior traction of the macula, and lead to MH. However, there were cases of MH formation without evidence of posterior cortical vitreous traction after VT for RRD [ 4 ] and even after ERM removal.…”

Section: Discussionmentioning

confidence: 99%

“…Following reattachment of the macula, the edematous retina was then stretched and weakened, leading to MH [ 3 ]. Byon et al assumed previous PVD and macular-off RD causing fragility of foveal tissue, and following phagocytosis of damaged foveal tissue results in MH formation [ 2 ]. In the present case, a serial OCT before MH formation was well-documented.…”

Section: Discussionmentioning

confidence: 99%

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Development of a full thickness macular hole after vitrectomy for rhegmatogenous retinal detachment: a sequential study via optical coherence tomography

Yang

2018

BMC Ophthalmol

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BackgroundTo demonstrate a full thickness macular hole (MH) development after vitrectomy (VT) for rhegmatogenous retinal detachment (RRD) and to investigate the possible disease mechanism with optical coherence tomography (OCT).Case presentationA 47-year-old female underwent 23G vitrectomy surgery to repair the macula-detached RRD successfully. However, intraretinal cysts initially developed two months after surgery. Cysts gradually increased in number and size, and cystoid macular edema was noted at the 5th month. Thereafter, inner retina dehiscence and a lamellar macular hole developed. The lamellar hole further dehisced and progressed into a full-thickness MH at the 10th month. The patient then received 23G vitrectomy and internal limiting membrane peeling surgery. OCT and fundus picture showed macular hole sealed 10 days afterward.ConclusionsThe mechanism of secondary MH included tangential traction, cystoid degeneration of macula, and glial migration. The sequential OCT studies provide evidence to support the disease mechanism of cystoid degeneration of the macula.

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Macular Hole Formation in Rhegmatogenous Retinal Detachment after Scleral Buckling

Cited by 13 publications

References 23 publications

Spontaneous closure of small full‐thickness macular holes: Presumed role of Müller cells

Spontaneous closure of small full‐thickness macular holes: Presumed role of Müller cells

Perfluorocarbon liquid-assisted inverted inner limiting membrane-flap for large macular hole after recurrent rhegmatogenous retinal detachment

Development of a full thickness macular hole after vitrectomy for rhegmatogenous retinal detachment: a sequential study via optical coherence tomography

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