Eccentric macular hole after pars plana vitrectomy for epiretinal membrane without internal limiting membrane peeling: a case report
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Authors
Garnavou-Xirou, Christina
Xirou, Tina
Kabanarou, Stamatina
Gkizis, Ilias
Velissaris, Stavros
Chatziralli, Irini
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Issue Date
2017
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Article
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INTRODUCTION: Postoperative eccentric macular hole formation is an uncommon complication after pars plana vitrectomy (PPV) without internal limiting membrane (ILM) peeling for the treatment of epiretinal membrane (ERM). We present a case of eccentric macular hole formation after PPV for ERM without ILM peeling. CASE REPORT: A 68-year-old male patient presented with ERM and visual acuity of 6/24 in his left eye. He underwent 23-gauge PPV without ILM peeling for treatment of ERM. One week postoperatively the retina was attached and the epiretinal membrane was successfully removed, while visual acuity was 6/9. One month after PPV, a single eccentric retinal hole below the macula was detected using fundoscopy and subsequently confirmed by optical coherence tomography. At this time the visual acuity was 6/9 and the patient reported no symptoms. No further intervention was attempted and at the 9-month follow-up, the visual acuity and the size of the eccentric macular hole remained stable. CONCLUSION: Eccentric macular holes can be developed after PPV even without ILM peeling and are usually managed conservatively by observation.
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Journal
Ophthalmology and Therapy
Volume
6
Issue
2