Spontaneous Resolution of Retinal Detachment Occurring After Macular Hole Surgery

Abstract

To document the spontaneous resolution of retinal detachment developing after macular hole surgery. Methods: We identified all patients who developed a postoperative retinal detachment after undergoing macular hole surgery at Washington University School of Medicine, St Louis, Mo; the surgery was performed by one of us (L.V.D.P. or H.J.K.) between 1991 and 1996. Results: Six of 73 eyes developed a postoperative retinal detachment; the retinal detachment was inferior in all cases. Two eyes that had inferior retinal breaks underwent further surgery to repair the retinal detachment. Retinal breaks could not be identified in the other 4 eyes; the retinal detachment resolved without further surgery in all 4 of these eyes. Conclusion: The recognition that retinal detachment occurring after macular hole surgery can resolve without additional surgery may result in the avoidance of further surgical intervention in some eyes.

Exudative retinal detachment in macular hole surgery using platelet concentrates – a case report

“…Akduman et al reported in 1998 on four patients with spontaneous resolution of retinal detachment after macular hole surgery [2]. In two cases there was no use of adjuvants during the operation, the detachments occurring 10 days and 2 weeks after surgery respectively and resolving within 3 weeks.…”

Exudative retinal detachment in macular hole surgery using platelet concentrates – a case report

“…Akduman et al reported in 1998 on four patients with spontaneous resolution of retinal detachment after macular hole surgery [2]. In two cases there was no use of adjuvants during the operation, the detachments occurring 10 days and 2 weeks after surgery respectively and resolving within 3 weeks.…”

Augmented Posterior Hyaloid Adhesion Associated With Retinal Detachment After Macular Hole Repair

“…This rate is consistent with previous studies, which have reported rates varying from 0% to 17%. [2][3][4][5][6][7] Eyes with MH may have an abnormal vitreoretinal interface that may predispose them to subsequent tears and detachment. 8 Tears associated with MH surgery tend to occur in the peripheral retina, particularly inferiorly.…”

Prophylactic scleral buckle for prevention of retinal detachment following vitrectomy for macular hole

“…All four were suspected to be serous in nature and resolved spontaneously without medical or surgical intervention 20. Considering this, an unbiased observer re-examined the operative reports and charts of our detached patients.…”

Exudative retinal detachment in macular hole surgery using platelet concentrates – a case report

“…Akduman et al reported in 1998 on four patients with spontaneous resolution of retinal detachment after macular hole surgery [2]. In two cases there was no use of adjuvants during the operation, the detachments occurring 10 days and 2 weeks after surgery respectively and resolving within 3 weeks.…”

Augmented Posterior Hyaloid Adhesion Associated With Retinal Detachment After Macular Hole Repair

“…This rate is consistent with previous studies, which have reported rates varying from 0% to 17%. [2][3][4][5][6][7] Eyes with MH may have an abnormal vitreoretinal interface that may predispose them to subsequent tears and detachment. 8 Tears associated with MH surgery tend to occur in the peripheral retina, particularly inferiorly.…”

Prophylactic scleral buckle for prevention of retinal detachment following vitrectomy for macular hole

“…All four were suspected to be serous in nature and resolved spontaneously without medical or surgical intervention 20. Considering this, an unbiased observer re-examined the operative reports and charts of our detached patients.…”

Exudative retinal detachment in macular hole surgery using platelet concentrates – a case report

“…Akduman et al reported in 1998 on four patients with spontaneous resolution of retinal detachment after macular hole surgery [2]. In two cases there was no use of adjuvants during the operation, the detachments occurring 10 days and 2 weeks after surgery respectively and resolving within 3 weeks.…”

Augmented Posterior Hyaloid Adhesion Associated With Retinal Detachment After Macular Hole Repair

“…This rate is consistent with previous studies, which have reported rates varying from 0% to 17%. [2][3][4][5][6][7] Eyes with MH may have an abnormal vitreoretinal interface that may predispose them to subsequent tears and detachment. 8 Tears associated with MH surgery tend to occur in the peripheral retina, particularly inferiorly.…”

Prophylactic scleral buckle for prevention of retinal detachment following vitrectomy for macular hole

“…All four were suspected to be serous in nature and resolved spontaneously without medical or surgical intervention 20. Considering this, an unbiased observer re-examined the operative reports and charts of our detached patients.…”