| Delayed Closure of Idiopathic Macular Hole after Vitrectomy, Internal Limiting Membrane Peeling, and Gas Tamponade. |
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Jong Heon Lee, Ho Yun Kim, Sung Who Park, Ji Eun Lee, Ik Soo Byon |
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea. isbyon@pusan.ac.kr
2Department of Ophthalmology, Pusan National University Hospital, Busan, Korea.
3Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
4Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. |
| 유리체절제술과 내경계막제거술 후 9개월에 지연 폐쇄된 특발성 황반원공 1예 |
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이종헌1,3,4⋅김호윤2,4⋅박성후2,4⋅이지은2,4⋅변익수1,3,4 |
Department of Ophthalmology, Pusan National University Yangsan Hospital 1, Yangsan, Korea
Department of Ophthalmology, Pusan National University Hospital 2, Busan, Korea
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital3, Yangsan, Korea
Department of Ophthalmology, Pusan National University School of Medicine4, Busan, Korea |
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| Abstract |
PURPOSE
To report a case of delayed idiopathic macular hole closure after vitrectomy, internal limiting membrane peeling, and gas tamponade. CASE SUMMARY: A 69-year-old female complained of visual disturbance in her left eye. At presentation, her visual acuity was 20/100 in the left eye. Fundus examination and optical coherence tomography revealed a full-thickness macular hole 489 microm in diameter as well as posterior vitreous detachment. Hence, vitrectomy, concurrent cataract surgery, internal limiting membrane peeling and gas tamponade were performed. One month postoperatively, the hole remained unclosed, although decreased in size to 378 microm. At 2 months, cystoid macular edema developed and postoperatively the hole diameter decreased gradually to 311 microm, 252 microm and 156 microm at 2, 3, and 5 months, respectively. Finally, the hole was closed upon the resolution of macular edema at 9 months. However, the visual acuity of 20/100 remained unchanged. CONCLUSIONS: Delayed closure of holes which may be related to cystoid macular edema, can develop after macular hole surgery. |
| Key Words:
Delayed closure;Idiopathic macular hole |
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