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Late Closure of a Stage III Idiopathic Macular Hole after Pars Plana Vitrectomy

Turk oftalmoloji gazetesi, 2015-12, Vol.45 (6), p.274-276 [Peer Reviewed Journal]

COPYRIGHT 2015 Galenos Yayinevi Tic. Ltd. ;Copyright Galenos Yayinevi Dec 2015 ;Turkish Journal of Ophthalmology, Published by Galenos Publishing. 2016 ;ISSN: 2149-8695 ;ISSN: 1300-0659 ;EISSN: 2149-8709 ;EISSN: 2147-2661 ;DOI: 10.4274/tjo.33603 ;PMID: 27800248

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  • Title:
    Late Closure of a Stage III Idiopathic Macular Hole after Pars Plana Vitrectomy
  • Author: Afrashi, Filiz ; Öztaş, Zafer ; Nalçacı, Serhad
  • Subjects: Case Report ; Internal medicine ; Macular hole ; optical coherence tomography ; Tomography ; Vitrectomy
  • Is Part Of: Turk oftalmoloji gazetesi, 2015-12, Vol.45 (6), p.274-276
  • Description: A 57-year-old female presented to our hospital with decreased vision in her right eye. Detailed ocular examination was performed, and a macular hole was detected in the right eye. The presence of a full-thickness stage III macular hole was confirmed with optical coherence tomography (OCT) imaging. Pars plana vitrectomy followed by long-acting gas tamponade (C3F8) was performed as treatment. One month after surgery, clinical examination revealed a persistent macular hole, confirmed by an OCT scan. Although the patient was scheduled for reoperation, the surgery was postponed due to personal reasons of the patient. Surprisingly, after five months, a closure pattern with accompanying epiretinal membrane was observed in the macular hole area. The closure of the macular hole was completed without any further intervention 8 months post-surgery. In cases of unclosed macular hole after the first surgery, if a second surgery cannot be performed, follow-up with OCT recommended due to the possibility of spontaneous closure. However, spontaneous closure of a persistent macular hole following PPV is rare, so early diagnosis and surgical repair of unclosed macular holes must remain the primary goal.
  • Publisher: Turkey: Galenos Yayinevi Tic. Ltd
  • Language: English;Turkish
  • Identifier: ISSN: 2149-8695
    ISSN: 1300-0659
    EISSN: 2149-8709
    EISSN: 2147-2661
    DOI: 10.4274/tjo.33603
    PMID: 27800248
  • Source: Open Access: PubMed Central
    AUTh Library subscriptions: ProQuest Central
    DOAJ Directory of Open Access Journals
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