Case of Macular Hole after Surgery in Macular Detachment with Optic Disc Pit in a Child

Won Seo Ji; Heun Nam Dong; Young Lee Dae

doi:10.3341/jkos.2013.54.7.1135

Journal List > J Korean Ophthalmol Soc > v.54(7) > 1009435

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Ji, Dong, and Dae: Case of Macular Hole after Surgery in Macular Detachment with Optic Disc Pit in a Child

Original Article

J Korean Ophthalmol Soc 2013;54(7):1135-1138.

Published online: 7 September 2013

DOI: https://doi.org/10.3341/jkos.2013.54.7.1135

Case of Macular Hole after Surgery in Macular Detachment with Optic Disc Pit in a Child

Won Seo Ji, MD, Heun Nam Dong, MD, PhD, Young Lee Dae, MD

¹Department of Ophthalmology, Gachon University Gil Medical Center, Gachon University, Incheon, Korea

Address reprint requests to Dae Young Lee, MD Department of Ophthalmology, Gachon University Gil Medical Center, #21 774Beon-gil, Namdong-daero, Namdong-gu, Incheon 405-760, Korea Tel: 82-32-460-3364, Fax: 82-32-460-3358 E-mail: eye4rang@naver.com

Received 17 November 20127 February 2013 Accepted 22 April 2013

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 macular hole after surgery in macular serous detachment associated with optic disc pit in a child, which was treated with silicone oil as an intraocular substitute.

Case summary

A 12-year-old boy was referred for examination due to visual disturbance in his left eye for the last 1 week. Corrected visual acuity at presentation was 0.08 in the left eye. The anterior part of the left eye was normal on slit lamp examination. Funduscopic examination revealed optic disc pit associated with macular detachment. The patient was treat-ed with vitrectomy, internal limiting membrane (ILM) peeling and gas tamponade. One week after treatment, the patient presented with central visual disturbance and showed a full thickness macular hole in the left eye. Extensive ILM peeling and silicone oil instillation were performed and after 2 months, silicone oil removal was performed. The macular hole ap-peared to be closed and visual acuity improved to 0.2. Recurrence was not observed until 20 months after treatment.

Conclusions

After surgical treatment due to macular detachment associated with optic disc pit in a child, occurrence of a macular hole is possible. Regarding macular hole treatment, silicone oil instillation and fast removal could be a beneficial option.

Keywords: Macular hole, Macular serous detachment, Optic pit disc of a child, Silicone oil tamponade

References

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Figure 1.

The fundus photography shows a gray inferotemporal optic disc pit and serous macular detachment (A).Optical coher-ence tomography shows the intraretinal schisis, thin inner reti-na, and subretinal fluid in macular detachment (B).

Figure 2.

Optical coherence tomography confirmed the full thickness macular hole.

Figure 3.

After silicone oil instillation and removal procedures, fundus photograph showed no recurrence of serous macular detachment (A). Optical coherence tomography showed the flattening of the retinal layers. The macular hole appeared to be closed (B).

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