Browse

SECONDARY MACULAR HOLE FORMATION AFTER VITRECTOMY

Cited 28 time in Web of Science Cited 37 time in Scopus
Authors
Lee, Sun Ho; Park, Kyu Hyung; Kim, Jeong Hun; Heo, Jang Won; Yu, Young Suk; Chung, Hum; Yu, Hyeong Gon
Issue Date
2010-08
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES; Vol.30 7; 1072-1077
Keywords
incidencevitrectomymacular holemechanismprognosis
Abstract
Purpose: The purpose of this study was to report the incidence and the underlying ocular pathology of a macular hole (MH) that develops in vitrectomized eyes and to evaluate its prognosis. Methods: A retrospective chart review was performed in patients who underwent vitrectomy between March 2004 and June 2009. Cases that developed an MH in vitrectomized eyes were identified, and the data from all ophthalmology examinations were collected. Patients with recurrent MHs after the initial MH surgery were excluded. Results: We identified 10 cases of secondaryMHduring a period of 64 months (incidence, 8 of 3,279 [0.24%]). Two cases of secondary MHs were not included in the calculations because the initial vitrectomies were performed before March 2004. The initial vitrectomy was performed on four eyes with vitreous hemorrhage caused by proliferative diabetic retinopathy, three eyes with retinal detachment from high myopia, one eye with combined retinal detachment with uveitis, one eye with rhegmatogenous retinal detachment, and one eye with an epiretinal membrane. The macular pathology identified before MH formation included cystoid macular edema in two eyes, epiretinal membrane in four eyes, and no specific lesion in another four eyes. The secondary MHs were managed by additional vitrectomy, peeling of the internal limiting membrane, and intravitreal gas tamponade. Nine of 10 eyes achieved hole closure after the secondary surgery, and 8 eyes recovered their previous visual acuity; the other 2 eyes had visual loss within 2 Snellen chart lines, and none of the 9 patients had a recurrence during a mean follow-up of 20.7 months (range, 4-31 months). Conclusion: The development of secondary MHs after vitrectomy is rare. Pathogenic mechanisms other than idiopathic MH may be involved in these cases. The anatomical and functional outcome of the secondary MHs that developed after vitrectomy was good, although the final visual acuity was dependent on the underlying ocular pathology. RETINA 30:1072-1077, 2010
ISSN
0275-004X
Language
English
URI
http://hdl.handle.net/10371/77809
DOI
https://doi.org/10.1097/IAE.0b013e3181cd4819
Files in This Item:
There are no files associated with this item.
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Ophthalmology (안과학전공)Journal Papers (저널논문_안과학전공)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse