Macular hole formation and spontaneous closure after vitrectomy for central retinal vein occlusion

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
Dhananjay ShuklaRamasamy Kim

Abstract

The purpose was to describe the formation and spontaneous closure of an iatrogenic macular hole after vitrectomy for central retinal vein occlusion (CRVO). A 45-year-old woman presented with loss of vision in the right eye due to CRVO. The left eye was normal. Best-corrected visual acuity (BCVA) was 3/60 in the right eye and 6/6 in the left. She underwent vitrectomy and radial optic neurotomy (RON) in the right eye. Fluorescein angiography and optical coherence tomography (OCT) were performed pre-operatively, on the first post-operative day, and subsequently at 1, 3, 6 and 12 months. There were no intra-operative complications. On the first post-operative day, fundus examination of the right eye revealed a small macular hole, confirmed by OCT. No additional intervention was carried out. Examination after a month revealed clearing of retinal haemorrhages, resolution of macular oedema and spontaneous closure of the macular hole. The closure was maintained until the last follow-up a year later. BCVA improved to 6/24 by 3 months, and was stable over the follow-up period. The left eye remained unchanged. While performing vitrectomy for CRVO, the induction of posterior vitreous detachment may deroof a foveal cyst in the highly oedema...Continue Reading

References

Apr 1, 1996·Archives of Ophthalmology·C V ReddyR M Feist
Jan 18, 2005·American Journal of Ophthalmology·Shuichi YamamotoSatoshi Mizunoya
Apr 19, 2005·The British Journal of Ophthalmology·C S Martínez-JardónH Quiroz-Mercado

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Citations

Jul 27, 2007·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Zofia MichalewskaJerzy Nawrocki
Jun 2, 2009·Japanese Journal of Ophthalmology·Manabu HirasawaSusumu Ishida
Sep 24, 2009·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Dhananjay Shukla, Sanghamitra Kanungo
Oct 13, 2017·Ophthalmology and Therapy·Andrea AppeltansGiulio Bamonte
Mar 17, 2007·Seminars in Ophthalmology·Miltiadis K TsilimbarisEmmanouil V Christodoulakis
Apr 7, 2012·Retina·Dhananjay ShuklaBalakrishnan Vijayakumar

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