Kim Jin Young, Park Sung Pyo
Department of Ophthalmology, Hallym University College of Medicine, Seoul; Department of Ophthalmology, Kangdong Sacred Heart Hospital, Seoul, Republic of Korea.
Indian J Ophthalmol. 2015 Oct;63(10):791-3. doi: 10.4103/0301-4738.171514.
This case report describes macular hole (MH) formation and spontaneous closure after vitrectomy for rhegmatogenous retinal detachment (RRD) repair. A 58-year-old man referred with a macula-off superior RRD, in whom vitrectomy was performed. MH with vitreomacular traction (VMT) caused by the posterior vitreous cortex remnants developed 2 weeks after vitrectomy. Four weeks postoperatively, optical coherence tomography revealed resolution of the VMT and spontaneous closure of MH without providing any treatment. This is the first report of an MH formation and spontaneous closure after vitrectomy for RRD. This suggests that the VMT mediated by the posterior vitreous cortex remnants has an important role in the development of secondary MH.
本病例报告描述了在玻璃体切除术后视网膜脱离(RRD)修复过程中黄斑裂孔(MH)的形成及自发闭合情况。一名58岁男性因上方黄斑脱离的RRD前来就诊,接受了玻璃体切除术。玻璃体切除术后2周,由玻璃体后皮质残余物引起的伴有玻璃体黄斑牵引(VMT)的MH形成。术后4周,光学相干断层扫描显示VMT消退且MH自发闭合,未进行任何治疗。这是关于RRD玻璃体切除术后MH形成及自发闭合的首例报告。这表明由玻璃体后皮质残余物介导的VMT在继发性MH的发生中起重要作用。