RAPID MACULAR HOLE FORMATION, SPONTANEOUS CLOSURE, and REOPENING after PARS PLANA VITRECTOMY for MACULA-SPARING RETINAL DETACHMENT

Jayanth Sridhar; Justin H. Townsend; Aleksandra V. Rachitskaya

doi:10.1097/ICB.0000000000000319

RAPID MACULAR HOLE FORMATION, SPONTANEOUS CLOSURE, and REOPENING after PARS PLANA VITRECTOMY for MACULA-SPARING RETINAL DETACHMENT

Jayanth Sridhar, Justin H. Townsend, Aleksandra V. Rachitskaya

Ophthalmology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background/Purpose:To report a single case of macular hole (MH) opening, spontaneous closure, and reopening in the 3-month period after pars plana vitrectomy for rhegmatogenous retinal detachment (RRD).Methods:Case report.Results:A 59-year-old man with a macula-sparing RRD underwent uncomplicated pars plana vitrectomy with gas tamponade. The patient developed a FTMH 2 months postoperatively. The hole was noted to spontaneously close 3 months postoperatively, but then reopened 4 months postoperatively and required repeat pars plana vitrectomy and inner limiting membrane peel for definitive closure. The rapidity with which the MH developed after pars plana vitrectomy for macula-sparing RRD and its dynamic behavior have not been previously reported.Conclusion:Full-thickness macular holes may rarely develop rapidly, spontaneous close, and reopen after pars plana vitrectomy for RRD, even in macula-sparing cases.

Original language	English (US)
Pages (from-to)	163-165
Number of pages	3
Journal	Retinal Cases and Brief Reports
Volume	11
Issue number	2
DOIs	https://doi.org/10.1097/ICB.0000000000000319
State	Published - 2017

Keywords

full-thickness macular hole
pars plana vitrectomy
reopening
retinal detachment
spontaneous closure

ASJC Scopus subject areas

Ophthalmology

Access to Document

10.1097/ICB.0000000000000319

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title = "RAPID MACULAR HOLE FORMATION, SPONTANEOUS CLOSURE, and REOPENING after PARS PLANA VITRECTOMY for MACULA-SPARING RETINAL DETACHMENT",

abstract = "Background/Purpose:To report a single case of macular hole (MH) opening, spontaneous closure, and reopening in the 3-month period after pars plana vitrectomy for rhegmatogenous retinal detachment (RRD).Methods:Case report.Results:A 59-year-old man with a macula-sparing RRD underwent uncomplicated pars plana vitrectomy with gas tamponade. The patient developed a FTMH 2 months postoperatively. The hole was noted to spontaneously close 3 months postoperatively, but then reopened 4 months postoperatively and required repeat pars plana vitrectomy and inner limiting membrane peel for definitive closure. The rapidity with which the MH developed after pars plana vitrectomy for macula-sparing RRD and its dynamic behavior have not been previously reported.Conclusion:Full-thickness macular holes may rarely develop rapidly, spontaneous close, and reopen after pars plana vitrectomy for RRD, even in macula-sparing cases.",

keywords = "full-thickness macular hole, pars plana vitrectomy, reopening, retinal detachment, spontaneous closure",

author = "Jayanth Sridhar and Townsend, {Justin H.} and Rachitskaya, {Aleksandra V.}",

year = "2017",

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AU - Sridhar, Jayanth

AU - Townsend, Justin H.

AU - Rachitskaya, Aleksandra V.

PY - 2017

Y1 - 2017

N2 - Background/Purpose:To report a single case of macular hole (MH) opening, spontaneous closure, and reopening in the 3-month period after pars plana vitrectomy for rhegmatogenous retinal detachment (RRD).Methods:Case report.Results:A 59-year-old man with a macula-sparing RRD underwent uncomplicated pars plana vitrectomy with gas tamponade. The patient developed a FTMH 2 months postoperatively. The hole was noted to spontaneously close 3 months postoperatively, but then reopened 4 months postoperatively and required repeat pars plana vitrectomy and inner limiting membrane peel for definitive closure. The rapidity with which the MH developed after pars plana vitrectomy for macula-sparing RRD and its dynamic behavior have not been previously reported.Conclusion:Full-thickness macular holes may rarely develop rapidly, spontaneous close, and reopen after pars plana vitrectomy for RRD, even in macula-sparing cases.

AB - Background/Purpose:To report a single case of macular hole (MH) opening, spontaneous closure, and reopening in the 3-month period after pars plana vitrectomy for rhegmatogenous retinal detachment (RRD).Methods:Case report.Results:A 59-year-old man with a macula-sparing RRD underwent uncomplicated pars plana vitrectomy with gas tamponade. The patient developed a FTMH 2 months postoperatively. The hole was noted to spontaneously close 3 months postoperatively, but then reopened 4 months postoperatively and required repeat pars plana vitrectomy and inner limiting membrane peel for definitive closure. The rapidity with which the MH developed after pars plana vitrectomy for macula-sparing RRD and its dynamic behavior have not been previously reported.Conclusion:Full-thickness macular holes may rarely develop rapidly, spontaneous close, and reopen after pars plana vitrectomy for RRD, even in macula-sparing cases.

KW - full-thickness macular hole

KW - pars plana vitrectomy

KW - reopening

KW - retinal detachment

KW - spontaneous closure

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