A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole
A 38-year-old man with a traumatic full-thickness macular hole (FTMH) presented to our eye casualty department with a sudden deterioration of his right eye vision to hand movements over the past one week. The suspected traumatic FTMH was present since he was 13 years old from a direct impact of a go...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/7595873 |
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| author | Soon Wai Ch’ng Ibrahim Elaraoud David Karl Dimitrios Kalogeropoulos Rynn Lee Elisa Carreras |
| author_facet | Soon Wai Ch’ng Ibrahim Elaraoud David Karl Dimitrios Kalogeropoulos Rynn Lee Elisa Carreras |
| author_sort | Soon Wai Ch’ng |
| collection | DOAJ |
| description | A 38-year-old man with a traumatic full-thickness macular hole (FTMH) presented to our eye casualty department with a sudden deterioration of his right eye vision to hand movements over the past one week. The suspected traumatic FTMH was present since he was 13 years old from a direct impact of a golf ball in his right eye and his best-corrected visual acuity (BCVA) has always remained at 1/60 Snellen vision. On examination, he had a very large FTMH measuring 1635 µm with central foveal retinal detachment. Pars plana vitrectomy combined with large inverted internal limiting membrane (ILM) peel flap, 5000 Cs silicone oil tamponade, and autologous platelets implantation was performed. Follow-up visits revealed that the FTMH was closed under silicone oil. The silicone oil was removed six months after the surgery and the FTMH remained close with the retina remaining attached. His BCVA was restored to his previous baseline level of 1/60 Snellen vision. With the advent of multiple techniques to repair FTMH such as the ILM flaps, we have combined this technique with older proven techniques such as silicone oil tamponade and autologous platelets implantation to close the giant traumatic FTMH. This case study demonstrates that combining techniques can help close a FMTH that is otherwise deemed impossible in the past. |
| format | Article |
| id | doaj-art-bb61ff7c07d4417cbfc00512a3ad8edf |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-bb61ff7c07d4417cbfc00512a3ad8edf2025-02-03T01:11:46ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302018-01-01201810.1155/2018/75958737595873A Combination of Surgical Techniques to Repair a Giant Traumatic Macular HoleSoon Wai Ch’ng0Ibrahim Elaraoud1David Karl2Dimitrios Kalogeropoulos3Rynn Lee4Elisa Carreras5Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UKBirmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UKBirmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UKBirmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UKBirmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UKBirmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UKA 38-year-old man with a traumatic full-thickness macular hole (FTMH) presented to our eye casualty department with a sudden deterioration of his right eye vision to hand movements over the past one week. The suspected traumatic FTMH was present since he was 13 years old from a direct impact of a golf ball in his right eye and his best-corrected visual acuity (BCVA) has always remained at 1/60 Snellen vision. On examination, he had a very large FTMH measuring 1635 µm with central foveal retinal detachment. Pars plana vitrectomy combined with large inverted internal limiting membrane (ILM) peel flap, 5000 Cs silicone oil tamponade, and autologous platelets implantation was performed. Follow-up visits revealed that the FTMH was closed under silicone oil. The silicone oil was removed six months after the surgery and the FTMH remained close with the retina remaining attached. His BCVA was restored to his previous baseline level of 1/60 Snellen vision. With the advent of multiple techniques to repair FTMH such as the ILM flaps, we have combined this technique with older proven techniques such as silicone oil tamponade and autologous platelets implantation to close the giant traumatic FTMH. This case study demonstrates that combining techniques can help close a FMTH that is otherwise deemed impossible in the past.http://dx.doi.org/10.1155/2018/7595873 |
| spellingShingle | Soon Wai Ch’ng Ibrahim Elaraoud David Karl Dimitrios Kalogeropoulos Rynn Lee Elisa Carreras A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole Case Reports in Ophthalmological Medicine |
| title | A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole |
| title_full | A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole |
| title_fullStr | A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole |
| title_full_unstemmed | A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole |
| title_short | A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole |
| title_sort | combination of surgical techniques to repair a giant traumatic macular hole |
| url | http://dx.doi.org/10.1155/2018/7595873 |
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