Macular hole after pars plana vitrectomy for rhegmatogenous retinal detachment

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

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


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 Snellen's 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)
Pages (from-to)1065-1072
Number of pages8
Issue number6
StatePublished - Jun 1 2017


  • epiretinal membrane
  • macular hole
  • rhegmatogenous retinal detachment

ASJC Scopus subject areas

  • Ophthalmology


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