Lam Delphine, Srour Mayer, Semoun Oudy, Tilleul Julien, Souied Eric H
Department of Ophthalmology, Hôpital Intercommunal de Creteil, Université Créteil Paris Est, Créteil, France.
Retin Cases Brief Rep. 2018;12(2):131-135. doi: 10.1097/ICB.0000000000000446.
Pseudophakic cystoid macular edema (PCME) is a common complication of cataract surgery. We report the management of a case presenting with PCME in his left eye complicated by a full-thickness macular hole (MH). Four weeks after a cataract surgery on his left eye, a 75-year-old man presented with a vision loss on the same eye (best-corrected visual acuity: 20/64). A PCME complicated by a full-thickness MH was diagnosed. After oral acetazolamide treatment, the PCME completely regressed and the full-thickness MH closed after medical treatment.
Macular edema may rarely lead to MHs, by inducing mechanical changes and probable inflammatory mechanisms as well as a thinning of the fovea. We report a case of spontaneous closure of MH complicating a PCME, with medical treatment.
人工晶状体眼黄斑囊样水肿（PCME）是白内障手术的常见并发症。我们报告了一例左眼患有PCME并伴有全层黄斑裂孔（MH）的病例的治疗情况。一名75岁男性左眼白内障手术后四周，该眼出现视力丧失（最佳矫正视力：20/64）。诊断为伴有全层MH的PCME。口服乙酰唑胺治疗后，PCME完全消退，药物治疗后全层MH闭合。
黄斑水肿可能很少通过诱导机械性改变、可能的炎症机制以及中央凹变薄导致MH。我们报告了一例药物治疗使伴有PCME的MH自发闭合的病例。
