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- Title
Successful anatomical closure of a photographically documented 30-year-old idiopathic full-thickness macular hole following surgery for concurrent repair of an acute macula-on rhematogenous retinal detachment.
- Authors
Eong, Jonathan T W Au; Lim, Jason H M; George, Sachin M; Eong, Kah-Guan Au
- Abstract
A 62-year-old man with a 30-year-old photographically documented idiopathic full-thickness macular hole and visual acuity of 6/45 developed an acute macula-on rhegmatogenous retinal detachment in his left eye. A pars plana vitrectomy, internal limiting membrane peeling around the macular hole, fluid-air exchange, endolaser retinopexy around the peripheral retinal break and perfluoropropane (C3F8) internal tamponade were performed to repair the detached retina and macular hole. One month postoperatively, the patient developed a large peripheral circumferential retinal tear with shallow retinal detachment which necessitated scleral buckling, repeat vitrectomy, endolaser photocoagulation and C3F8 tamponade. The retina was successfully re-attached and the macula hole was closed. Three years post-vitrectomy, the repaired 30-year-old macular hole remained closed although the visual acuity remained unchanged at 6/45. In summary, we describe the successful anatomical closure of a 30-year-old idiopathic full-thickness macular hole which we believe to be the longest duration photographically documented macular hole closed following surgery.
- Subjects
VITRECTOMY; RETINAL surgery; RETINAL detachment; PARS plana; VISUAL acuity; MACULA lutea; SURGERY
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 4, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae231