Spontaneous Closure of Secondary Eccentric Macular Holes Following Vitreoretinal Surgery

Venkatesh, Ramesh; Pereira, Arpitha; Yadav, Naresh Kumar

doi:10.1097/icb.0000000000001027

Cited by 1 publication

(1 citation statement)

References 10 publications

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“…The residual ILM contraction also explains the development of secondary paracentral MHs following vitrectomy. 6 In this instance, it was evident from the OCT scans that the ILM-retinal nerve fibre layer appeared to be thickened following surgery (Figure 2D), leading to the development of ILM-retinal nerve fibre layer schisis and then inner retinal layer schisis over time. Throughout the entire course of events, schisis did not develop in the region of the macula where the ILM was peeled.…”

Section: Discussionmentioning

confidence: 93%

Progressive retinoschisis and retinal detachment after uncomplicated macular hole repair surgery

Prabhu,

Yadav,

Bavaskar

et al. 2024

European Journal of Ophthalmology

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Purpose To report a rare case of progressive retinoschisis and retinal detachment after uncomplicated macular hole (MH) surgery. Case description A 67-year-old man with recent onset vision complaints in the right eye (visual acuity – 20/30), was diagnosed with a small idiopathic full-thickness MH. He underwent a 3-port 25G pars plana vitrectomy surgery with internal limiting membrane peeling and air endotamponade. Results MH closed with a normal foveal contour and intact retinal layers by the 1st post operative week and vision improved to 20/20. At the 7th week follow-up period, the patient complained of visual disturbances in his right eye for 2 days. Optical coherence tomography scans revealed development of peripheral retinoschisis which progressed towards the macula over the next 4 weeks. At the 13th week following the retinal surgery, patient developed sudden profound vision loss to hand motions and a total retinal detachment was noted. He underwent a second retinal surgery with retinectomy to the stiff retina and silicone oil endotamponade. At the last follow-up visit 8 weeks after the second surgery, the visual acuity had improved to 20/120 and the retina was well-attached with silicone oil in place. Conclusion We present a rare case of progressive retinoschisis and retinal detachment caused by residual ILM contraction after MH repair surgery. To the best of our knowledge, no such complication after MH repair surgery has been reported in the literature.

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Section: Discussionmentioning

confidence: 93%