Vitreous surgery combined with internal limiting membrane peeling for traumatic macular hole with severe retinal folds

Acta Ophthalmologica Scandinavica
Tomohiro IkedaOsamu Mimura

Abstract

To report a case of a traumatic macular hole with severe retinal folds in which vitreous surgery combined with internal limiting membrane (ILM) peeling was beneficial. To demonstrate that the area from which the ILM was peeled can be clearly differentiated by scanning laser ophthalmoscopy. A posterior hyaloid detachment was created during vitreous surgery on a 34 year old man with a traumatic macular hole. The remaining vitreous was resected and the ILM was peeled. The fundus was examined through a scanning laser ophthalmoscope before and after the surgery. The retinal folds disappeared concurrently with the detachment of the ILM, resulting in closure of the macular hole. The area from which the ILM was peeled was clearly observed through the scanning laser ophthalmoscope. In this patient, it was helpful to perform not only posterior hyaloid detachment but also ILM peeling. The scanning laser ophthalmoscope was highly useful for observing the area from which the ILM was peeled.

References

May 1, 1991·Archives of Ophthalmology·N E Kelly, R T Wendel
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Aug 1, 1997·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·C EckardtE Reale
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Citations

Jan 27, 2005·Photomedicine and Laser Surgery
Jun 24, 2008·Survey of Ophthalmology·Ehab Abdelkader, Noemi Lois
Sep 18, 2007·American Journal of Ophthalmology·Wei-Chi WuAntonio Capone
Aug 10, 2005·American Journal of Ophthalmology·Yen-Po ChenChi-Chun Lai
Feb 28, 2017·Journal of Ophthalmology·Wu Liu, Andrzej Grzybowski

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