MACULAR HOLE AFTER PARS PLANA VITRECTOMY FOR RHEGMATOGENOUS RETINAL DETACHMENT

Carlos A. Medina, Angelica G. Ortiz, Nidhi Relhan, William E Smiddy, Justin Townsend, Harry W Flynn

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

PURPOSE:: To report the clinical features, possible associations and treatment outcomes of patients with macular hole after pars plana vitrectomy (PPV) (single or multiple) for rhegmatogenous retinal detachment (RD). METHODS:: Retrospective consecutive case series from July 2009 to July 2014. RESULTS:: In the 15 study patients, the average time from RD surgery to macular hole diagnosis was 119 days (range: 41–398 months). Possible associations include epiretinal membrane (73%, 11/15 patients), macula-off RD (60%, 9/15 patients), recurrent RD (47%, 7/15 patients), and high myopia (56%, 5/9 patients). Single surgery was successful in hole closure in 8/15 patients (Group A) while 7/15 patients underwent multiple surgeries (Group B). Macular hole closure was achieved in 7/8 (87.5%) patients in Group A compared to 4/7 (57.1%) patients in Group B. Improvement of at least two lines of Snellenʼs visual acuity was achieved in 4/8 (50.0%) and 4/7 (57.1%) patients in Group A and B, respectively. CONCLUSION:: In patients with macular hole formation after pars plana vitrectomy for RD, possible associations were epiretinal membrane, macula-off RD, recurrent RD, and high myopia. Even when macular hole closure was achieved, limited visual improvement occurred.

Original languageEnglish (US)
JournalRetina
DOIs
StateAccepted/In press - Oct 11 2016

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Retinal Perforations
Temazepam
Vitrectomy
Retinal Detachment
Epiretinal Membrane
Myopia
Visual Acuity

ASJC Scopus subject areas

  • Ophthalmology

Cite this

MACULAR HOLE AFTER PARS PLANA VITRECTOMY FOR RHEGMATOGENOUS RETINAL DETACHMENT. / Medina, Carlos A.; Ortiz, Angelica G.; Relhan, Nidhi; Smiddy, William E; Townsend, Justin; Flynn, Harry W.

In: Retina, 11.10.2016.

Research output: Contribution to journalArticle

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abstract = "PURPOSE:: To report the clinical features, possible associations and treatment outcomes of patients with macular hole after pars plana vitrectomy (PPV) (single or multiple) for rhegmatogenous retinal detachment (RD). METHODS:: Retrospective consecutive case series from July 2009 to July 2014. RESULTS:: In the 15 study patients, the average time from RD surgery to macular hole diagnosis was 119 days (range: 41–398 months). Possible associations include epiretinal membrane (73{\%}, 11/15 patients), macula-off RD (60{\%}, 9/15 patients), recurrent RD (47{\%}, 7/15 patients), and high myopia (56{\%}, 5/9 patients). Single surgery was successful in hole closure in 8/15 patients (Group A) while 7/15 patients underwent multiple surgeries (Group B). Macular hole closure was achieved in 7/8 (87.5{\%}) patients in Group A compared to 4/7 (57.1{\%}) patients in Group B. Improvement of at least two lines of Snellenʼs visual acuity was achieved in 4/8 (50.0{\%}) and 4/7 (57.1{\%}) patients in Group A and B, respectively. CONCLUSION:: In patients with macular hole formation after pars plana vitrectomy for RD, possible associations were epiretinal membrane, macula-off RD, recurrent RD, and high myopia. Even when macular hole closure was achieved, limited visual improvement occurred.",
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AU - Smiddy, William E

AU - Townsend, Justin

AU - Flynn, Harry W

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