2016Journal of RetinaOpen access

Secondary Macular Hole Formation after Pars Plana Vitrectomy for Vitreous Hemorrhage

Jeong Hee Kim, Cheol Won Jang, Daniel Duck-Jin Hwang

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Abstract

Purpose: To describe a case of a secondary macular hole (MH) after pars plana vitrectomy for vitreous hemorrhage.Case summary: A 79-year-old woman with decreased visual acuity in her right eye was diagnosed with a grade 4 vitreous hemorrhage and underwent pars plana vitrectomy.After 1 week, an MH was detected using a fundus examination and optical coherence tomography (OCT).One month after surgery, the MH remained stationary with a best corrected visual acuity (BCVA) of 20/1,000.She underwent a second partial vitrectomy, and closure of the MH was demonstrated by OCT.BCVA was 20/63 at 1 month after the second operation.Conclusions: We report a case of secondary full-thickness macular hole formation without vitreofoveal traction after vitrectomy for vitreous hemorrhage.

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Purpose: To describe a case of a secondary macular hole (MH) after pars plana vitrectomy for vitreous hemorrhage.Case summary: A 79-year-old woman with decreased visual acuity in her right eye was diagnosed with a grade 4 vitreous hemorrhage and underwent pars plana vitrectomy.After 1 week, an MH was detected using a fundus examination and optical coherence tomography (OCT).One month after surgery, the MH remained stationary with a best corrected visual acuity (BCVA) of 20/1,000.She underwent a second partial vitrectomy, and closure of the MH was demonstrated by OCT.BCVA was 20/63 at 1 month after the second operation.Conclusions: We report a case of secondary full-thickness macular hole formation without vitreofoveal traction after vitrectomy for vitreous hemorrhage.

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Available abstract

Purpose: To describe a case of a secondary macular hole (MH) after pars plana vitrectomy for vitreous hemorrhage.Case summary: A 79-year-old woman with decreased visual acuity in her right eye was diagnosed with a grade 4 vitreous hemorrhage and underwent pars plana vitrectomy.After 1 week, an MH was detected using a fundus examination and optical coherence tomography (OCT).One month after surgery, the MH remained stationary with a best corrected visual acuity (BCVA) of 20/1,000.She underwent a second partial vitrectomy, and closure of the MH was demonstrated by OCT.BCVA was 20/63 at 1 month after the second operation.Conclusions: We report a case of secondary full-thickness macular hole formation without vitreofoveal traction after vitrectomy for vitreous hemorrhage.

Key concepts: Pars plana, Vitrectomy, Macular hole, Vitreous hemorrhage, Ophthalmology, Medicine, Visual acuity

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