Delayed Sealing of Macular Hole after Vitrectomy with Silicone Oil Tamponade

Yong-Min Choi; Jaeryung Oh; Seong-Woo Kim; Kuhl Huh

doi:10.3341/jkos.2013.54.4.686

Journal List > J Korean Ophthalmol Soc > v.54(4) > 1009663

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Choi, Oh, Kim, and Huh: Delayed Sealing of Macular Hole after Vitrectomy with Silicone Oil Tamponade

Original Article

J Korean Ophthalmol Soc 2007;54(4):686-690.

Published online: 24 August 2007

DOI: https://doi.org/10.3341/jkos.2013.54.4.686

Delayed Sealing of Macular Hole after Vitrectomy with Silicone Oil Tamponade

Yong-Min Choi, MD, Jaeryung Oh, MD, PhD, Seong-Woo Kim, MD, PhD, Kuhl Huh, MD, PhD

Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea

Address reprint requests to Jaeryung Oh, MD, PhD Department of Ophthalmology, Korea University Anam Hospital #73 Inchon-ro, Seongbuk-gu, Seoul 136-705, Korea Tel: 82-2-920-5521, Fax: 82-2-924-6820, E-mail: ojr4991@yahoo.co.kr

Received 30 April 20123 October 2012 Accepted 21 January 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 delayed sealing of full-thickness macular hole associated with diabetic retinopathy after vitrectomy with silicone oil tamponade.

Case summary

A 63-year-old woman visited our clinic complaining of decreased visual acuity in her left eye. Fundoscopy showed a full-thickness macular hole with vitreomacular traction in the left eye and bilateral proliferative diabetic retinopathy. The patient underwent uncomplicated phacoemulsification and pars plana vitrectomy with silicone oil tamponade because her vision in the contralateral eye was only light perception. She was unable to maintain a prone position postoperatively due to anterior chamber hyphema. At 1.5 months after surgery, vitreomacular traction was removed but the hole was not sealed as observed on optical coherence tomography. Approximately 3 months after vitrectomy, the macular hole was sealed with minimal subfoveal fluid. At 6 months after vitrectomy, the macular hole was closed completely with no subfoveal fluid.

J Korean Ophthalmol Soc 2013;54(4):686-690

Keywords: Delayed sealing, Macular hole, Silicone oil tamponade

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Figure 1.

Preoperative macular optical coherence tomography and fundus photography (top row) shows a full-thickness macular hole with vitreomacular traction. Macular thickness map (top middle) revealed macular and perimacular thickening. At 1.5 months after vitrectomy and silicone oil tamponade (second row), vitreomacular traction was removed. However, macular hole was not closed. Perimacular thickening is observed on the macular thickness map. At 3 months after the surgery (third row), macular hole was closed with minimal subfoveal fluid. Reduced perimacular thickening was observed. At 6 months postoperatively (bottom row), subfoveal fluid was completely absorbed and perimacular thickening was further reduced.

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