Multiple retinal holes in the macular region: a case report.

PURPOSE

To describe the first case of multiple retinal holes in the macular region successfully treated with vitrectomy.

METHOD

A single case report. A 44-year-old man was treated for impaired vision caused by multiple macular holes in the right eye.

RESULTS

Fundus examinations detected six retinal holes in the right macula and a giant macular hole in the left eye. Optical coherence tomography disclosed multiple vitreoretinal adhesions in the right macula. We vitrectomized the right eye to produce posterior vitreous detachment and then tamponaded the vitreous cavity with 20% SF(6) gas, resulting in closure of holes and improvement of the vision.

CONCLUSION

Multiple macular holes may be treated by surgical posterior detachment combined with gas tamponade. Vitreoretinal adhesions are a possible cause of these holes. Similar multiple holes may have coalesced into one giant hole in this patient's left eye.