Garnavou-Xirou Christina, Xirou Tina, Kabanarou Stamatina, Gkizis Ilias, Velissaris Stavros, Chatziralli Irini
King's College Hospital, London, UK.
Red Cross Hospital, Athens, Greece.
Ophthalmol Ther. 2017 Dec;6(2):391-395. doi: 10.1007/s40123-017-0113-7. Epub 2017 Oct 17.
Postoperative eccentric macular hole formation is an uncommon complication after pars plana vitrectomy (PPV) without internal limiting membrane (ILM) peeling for the treatment of epiretinal membrane (ERM). We present a case of eccentric macular hole formation after PPV for ERM without ILM peeling.
A 68-year-old male patient presented with ERM and visual acuity of 6/24 in his left eye. He underwent 23-gauge PPV without ILM peeling for treatment of ERM. One week postoperatively the retina was attached and the epiretinal membrane was successfully removed, while visual acuity was 6/9. One month after PPV, a single eccentric retinal hole below the macula was detected using fundoscopy and subsequently confirmed by optical coherence tomography. At this time the visual acuity was 6/9 and the patient reported no symptoms. No further intervention was attempted and at the 9-month follow-up, the visual acuity and the size of the eccentric macular hole remained stable.
Eccentric macular holes can be developed after PPV even without ILM peeling and are usually managed conservatively by observation.
在不进行内界膜（ILM）剥除的玻璃体切除术（PPV）治疗视网膜前膜（ERM）后，术后偏心性黄斑裂孔形成是一种罕见的并发症。我们报告一例在不进行ILM剥除的PPV治疗ERM后发生偏心性黄斑裂孔的病例。
一名68岁男性患者，左眼患有ERM，视力为6/24。他接受了23G PPV治疗ERM，未进行ILM剥除。术后一周视网膜复位，视网膜前膜成功去除，视力为6/9。PPV术后一个月，通过眼底镜检查发现黄斑下方有一个单一的偏心性视网膜裂孔，随后经光学相干断层扫描证实。此时视力为6/9，患者无任何症状。未尝试进一步干预，在9个月的随访中，偏心性黄斑裂孔的视力和大小保持稳定。
即使不进行ILM剥除，PPV术后也可能出现偏心性黄斑裂孔，通常通过观察进行保守处理。
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