A Case of Postpartum Macular Hole in a Young Woman

Byoung Seon Kim; Byung Jae Kim; Yong Seop Han; Jong Moon Park; In Young Chung

doi:10.7469/JKOS.2015.56.03.463

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Kim, Kim, Han, Park, and Chung: A Case of Postpartum Macular Hole in a Young Woman

Original Article

J Korean Ophthalmol Soc 2015;56(3):463-465.

Published online: 7 September 2015

DOI: https://doi.org/10.7469/JKOS.2015.56.03.463

A Case of Postpartum Macular Hole in a Young Woman

Byoung Seon Kim, MD¹, Byung Jae Kim, MD¹, Yong Seop Han, MD, PhD^1,², Jong Moon Park, MD, PhD^1,², In Young Chung, MD, PhD^1,²

¹Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea

²Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea

￭ Address reprint requests to In Young Chung, MD, PhD Department of Ophthalmology, Gyeongsang National University Hospital, #79 Gangnam-ro, Jinju 660-702, Korea Tel: 82-55-750-8171, Fax: 82-55-750-4158 E-mail: inyoung@gnu.ac.kr

Received 19 September 20141 December 2014 Accepted 4 February 2015

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.

초록

Purpose:

To describe a case of macular hole (MH) in a 29-year-old non-myopic woman after uncomplicated delivery.

Case summary:

A 29-year-old woman visited our clinic complaining of decreased visual acuity in her left eye after uncomplicated delivery. Fundoscopy and optical coherence tomography showed a full thickness macular hole in the left eye. However, we found not posterior vitreous detachment or vitreomacular traction in the posterior pole. The patient underwent pars plana vitrectomy, internal limiting membrane peeling, and SF6 gas tamponade. Three months after vitrectomy, the patient’s visual acuity was improved and the macular hole was closed successfully.

Conclusions:

We experienced and treated a case of postpartum MH developed in a young woman without posterior vitreous detachment or vitreomacular traction in the posterior pole. This suggests another mechanism of MH formation. Postpartum MH was successfully treated by existing idiopathic macular hole surgery.

Keywords: Postpartum macular hole, Vitrectomy

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Figure 1.

Preoperative fundus photography (A) and optical coherence tomography (B) of the left eye.

Figure 2.

Fundus photography (A) and optical coherence tomography (B) 3 months after pars plana vitrectomy and posterior vitreous detachment formation, internal limiting membrane peeling, 20% SF6 gas tamponade shows closed macular hole.

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