Surgical repair of iatrogenic macular hole secondary to vitrectomy for long-standing traumatic retinal detachment.

摘要

The authors describe the successful surgical repair of an iatrogenic macular hole. A 38-year-old woman underwent pars plana vitrectomy with a belt buckle and membrane peeling for long-standing total traumatic retinal detachment. Although retinal reattachment was achieved, a macular hole was detected postoperatively. The hole was initially monitored for 2 months to allow for spontaneous closure; however, it enlarged from 440 to 710 microm. Best-corrected visual acuity was 20/400. Silicone-oil removal was performed along with dye-assisted internal limiting membrane peeling and gas tamponade. Closure of the macular hole was observed 1 month after treatment. Visual acuity improved to 20/120 by the last follow-up examination 1 year after treatment.