Atlas of Ophthalmology

Idiopathic Macular Hole Repair by Vitrectomy and Internal Limiting Membrane Peeling (SD-OCT before and after Surgery, Colour Image)

Retina -> Aquired Macular Diseases -> Macular Hole
Patient: 64 years of age, female, BVCA 0.2 (1 month after surgery) Ocular Medical History: decreased vision by idiopathic macular hole, patient underwent pars plana vitrectomy and internal limiting membrane peeling. General Medical History: empty. Main Complaint: decrease of vision. Purpose: To present Macular Hole Repair with reconstructive foveal anatomical change in surgically closed macular hole. METHODS: Spectral Domain Optical Coherence Tomography (SD-OCT) before and after surgery, Colour Photography: SD-OCT( before surgery): idiopathic macular hole without retinal detachment. SD-OCT (after surgery): restoration of the inner segment and outer segment junction, resting small defect in outer segment. Colour Photography (after surgery): small paracentral retinal hemorrhage, regular foveal anatomy. Discussion: It was reported by Hayashi et al. (1), that inverted internal limiting membrane flap technique resulted in anatomical improvements in patients with idiopathic macular holes. When the foveal photoreceptor layer in macular holes were destroyed vision is not recoverable even after retinal reattachment with surgical closure of the macular hole. Literature: (1) Hayashi H, Kuriyama S. FOVEAL MICROSTRUCTURE IN MACULAR HOLES SURGICALLY CLOSED BY INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE. Retina. 2014 Jul 24.

-------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- --------------------------

© OnJOph.com