Eccentric Macular Hole Formation After Macular Hole Surgery

Sang Jo Hwang; Jung Il Park; Jong Hyun Lee

doi:10.3341/jkos.2008.49.8.1341

Journal List > J Korean Ophthalmol Soc > v.49(8) > 1008058

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Hwang, Park, and Lee: Eccentric Macular Hole Formation After Macular Hole Surgery

Original Article

Pediatr Emerg Med J 2008;49(8):1341-1344.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.8.1341

Eccentric Macular Hole Formation After Macular Hole Surgery

Sang Jo Hwang, M.D., Jung Il Park, M.D., Jong Hyun Lee, M.D.

Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Gyeonggi, Korea

Address reprint requests to Jong Hyun Lee, M.D. Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine #2240 Daehwa-dong, Ilsanseo-gu, Goyang-si, Gyeonggi-do 411-706, Korea Tel: 82-31-910-7240, Fax: 82-31-911-7241, E-mail: ophtha@hanmail.net

Received 15 April 2008 Accepted 27 September 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of eccentric macular hole formation after surgery for a traumatic macular hole.

Case summary

A 27-year-old man was admitted to our hospital because of baseball trauma to his left eye. A vitreous hemorrhage and Berlin’s edema were found in the macula. One month later, a full thickness macular hole was detected. Vitrectomy and internal limiting membrane (ILM) peeling and gas injection were performed. Two months postoperatively, the primary macular hole was closed, but an eccentric macular hole temporal to the fovea was observed.

Keywords: Eccentric macular hole, Internal limiting membrane peeling, Traumatic macular hole

References

1. Ho AC, Guyer DR, Fine SL. Macular hole. Surv Ophthalmol. 1998; 42:393–416.

2. Johnson RN, McDonald HR, Lewis H. . Traumatic macular hole: observations, pathogenesis, and results of vitrectomy. surgery Ophthalmology. 2001; 108:853–7.

3. Yamada H, Sakai A, Yamada E. . Spontaneous closure of traumatic macular hole. Am J Ophthalmol. 2002; 134:340–7.

4. Smiddy WE, Flynn HW Jr. Pathogenesis of macular holes and therapeutic implications. Am J Ophthalmol. 2004; 137:525–37.

5. Rubin JS, Glaser BM, Thompson JT. . Vitrectomy, fluid-gas exchange and transforming growth factor-beta 2 for the treatment of traumatic macular holes. Ophthalmology. 1995; 102:1840–5.

6. de Bustros S. Vitreous surgery for traumatic macular hole. Retina. 1996; 16:451–2.

7. Madreperla SA, Benetz BA. Formation and treatment of a traumatic macular hole. Arch Ophthalmol. 1997; 115:1210–1.

8. García-Arumí J, Corcostegui B, Cavero L, Sararols L. The role of vitreoretinal surgery in the treatment of posttraumatic macular hole. Retina. 1997; 17:372–7.

9. Margherio AR, Margherio RR, Hartzer M. . Plasmin enzyme-assisted vitrectomy in traumatic pediatric macular holes. Ophthalmology. 1998; 105:1617–20.

10. Rubinstein A, Bates R, Benjamin L, Shaikh A. Iatrogenic eccentric full thickness macular holes following vitrectomy with ILM peeling for idiopathic macular holes. Eye. 2005; 19:1333–5.

11. Polkinhorne PJ, Roufail E. Eccentric macular hole formation associated with macular hole surgery. Eye. 2007; 21:122–3.

12. Mason JO 3rd, Feist RM, Albert MA Jr. Eccentric macular holes after vitrectomy with peeling of epimacular proliferation. Retina. 2007; 27:45–8.

13. Yeh S, Bourgeois KA, Benz MS. Full-thickness eccentric macular hole following vitrectomy with internal limiting membrane peeling. Ophthalmic Surg Lasers Imaging. 2007; 38:59–60.

14. Gass JD. Idiopathic senile macular hole. Its early stage and pathogenesis. Arch Ophthalmol. 1988; 106:629–39.

Figure 1.

Preoperative fundus photograph and corresponding OCT image. The image shows a full-thickness macular hole.

Figure 2.

Postoperative fundus photograph and corresponding OCT image at the fovea (A) and eccentric macular hole area (B). The image shows primary macualar hole closing and an eccentric (temporal) full-thickness macular hole occurred after surgery.

TOOLS

Similar articles