Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case Report
Macular holes pose a significant threat to central vision, necessitating precise diagnosis and intervention with an occurrence of 1 per 1000 patients over the age of 55. This manuscript presents a case study of a 66-year-old man with a retinal detachment in the right eye and full-wall macular hole....
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2024-05-01
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| Series: | Okulistyka |
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| Online Access: | https://www.ophthalmologypoland.com.pl/Closure-of-Full-thickness-Macular-Hole-after-Pars-Plana-Vitrectomy-23G-with-Cataract,187932,0,2.html |
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| author | Maria Stec Mikołaj Kuźniak Sebastian Sirek |
| author_facet | Maria Stec Mikołaj Kuźniak Sebastian Sirek |
| author_sort | Maria Stec |
| collection | DOAJ |
| description | Macular holes pose a significant threat to central vision, necessitating precise diagnosis and intervention with an occurrence of 1 per 1000 patients over the age of 55. This manuscript presents a case study of a 66-year-old man with a retinal detachment in the right eye and full-wall macular hole.
The patient underwent a multi-step surgical intervention involving pars plana vitrectomy, internal limiting membrane peeling with silicone oil tamponade, retinal endophotocoagulation, and administration and removal of the perfluorocarbon liquid DK-line in the first step. The second stage of treatment comprised silicone oil removal via posterior access vitrectomy, injection of 25% SF6 into the right eye, and treatment of intraoperatively found macular hole with an inverted flap method.
The case underscores the association between macular hole and rhegmatogenous retinal detachment, with potential iatrogenic causes during vitrectomy. The inverted internal limiting membrane flap technique emerged as a superior strategy for managing full-thickness macular holes, demonstrating high closure rates and improved visual acuity postoperatively. This case study contributes to the evolving understanding of macular hole pathogenesis and reinforces the significance of tailored surgical approaches for optimal patient outcomes. |
| format | Article |
| id | doaj-art-0578ad6b2ade4c11adbf3138687719c8 |
| institution | Kabale University |
| issn | 1505-2753 1689-362X |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Okulistyka |
| spelling | doaj-art-0578ad6b2ade4c11adbf3138687719c82025-01-24T12:39:58ZengTermedia Publishing HouseOkulistyka1505-27531689-362X2024-05-01271212310.5114/oku/187932187932Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case ReportMaria Stec0Mikołaj Kuźniak1Sebastian Sirek2Student Scientific Club at the Department of Ophthalmology, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, PolandStudent Scientific Club at the Department of Ophthalmology, Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, PolandDepartment of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Poland Head: Professor Dorota Wyględowska-Promieńska, MD, PhDMacular holes pose a significant threat to central vision, necessitating precise diagnosis and intervention with an occurrence of 1 per 1000 patients over the age of 55. This manuscript presents a case study of a 66-year-old man with a retinal detachment in the right eye and full-wall macular hole. The patient underwent a multi-step surgical intervention involving pars plana vitrectomy, internal limiting membrane peeling with silicone oil tamponade, retinal endophotocoagulation, and administration and removal of the perfluorocarbon liquid DK-line in the first step. The second stage of treatment comprised silicone oil removal via posterior access vitrectomy, injection of 25% SF6 into the right eye, and treatment of intraoperatively found macular hole with an inverted flap method. The case underscores the association between macular hole and rhegmatogenous retinal detachment, with potential iatrogenic causes during vitrectomy. The inverted internal limiting membrane flap technique emerged as a superior strategy for managing full-thickness macular holes, demonstrating high closure rates and improved visual acuity postoperatively. This case study contributes to the evolving understanding of macular hole pathogenesis and reinforces the significance of tailored surgical approaches for optimal patient outcomes.https://www.ophthalmologypoland.com.pl/Closure-of-Full-thickness-Macular-Hole-after-Pars-Plana-Vitrectomy-23G-with-Cataract,187932,0,2.htmlfull-thickness macular hole (ftmh)rhegmatogenous retinal detachmentposterior vitrectomy |
| spellingShingle | Maria Stec Mikołaj Kuźniak Sebastian Sirek Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case Report Okulistyka full-thickness macular hole (ftmh) rhegmatogenous retinal detachment posterior vitrectomy |
| title | Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case Report |
| title_full | Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case Report |
| title_fullStr | Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case Report |
| title_full_unstemmed | Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case Report |
| title_short | Closure of Full-thickness Macular Hole after Pars Plana Vitrectomy (23G) with Cataract Phacoemulsification, Artificial Intraocular Lens Implantation, and Silicone Oil Administration Due to Rhegmatogenous Retinal Detachment in the Right Eye in a 67-year-old Patient – a Case Report |
| title_sort | closure of full thickness macular hole after pars plana vitrectomy 23g with cataract phacoemulsification artificial intraocular lens implantation and silicone oil administration due to rhegmatogenous retinal detachment in the right eye in a 67 year old patient a case report |
| topic | full-thickness macular hole (ftmh) rhegmatogenous retinal detachment posterior vitrectomy |
| url | https://www.ophthalmologypoland.com.pl/Closure-of-Full-thickness-Macular-Hole-after-Pars-Plana-Vitrectomy-23G-with-Cataract,187932,0,2.html |
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