AI Article Synopsis

  • Macular hole (MH) formation is uncommon after surgery for rhegmatogenous retinal detachment (RRD) and usually requires another surgery for repair, but spontaneous closure of these holes is even rarer.
  • This study retrospectively analyzed three RRD patients who developed secondary MH after vitrectomy, documenting their cases and the outcomes of spontaneous closure over time.
  • Findings suggested that the initial formation of MH may be linked to vitreomacular traction (VMT), and the release of this traction may facilitate the spontaneous healing of the macular hole.

Article Abstract

Background: Macular hole (MH) formation after rhegmatogenous retinal detachment (RRD) surgery is rare, and in most cases, additional surgical procedures are required to repair MH. Spontaneous closure of the MH is even rarer. In this study, we aimed to report a series of cases of spontaneous closure of the secondary MH and provide a review of the literature.

Methods: We retrospectively collected the cases of secondary MH formation following vitrectomy in RRD patients followed by spontaneous closure. Ophthalmological data at presentation and during follow-up were collected and analyzed.

Results: We reported a total of three RRD patients aged 31,67,12 years, including two females and one male. The three patients underwent pars plana vitrectomy (PPV) with either silicone oil tamponade or air tamponade. Optical coherence tomography (OCT) revealed a second full-thickness MH formation with remnant vitreous cortex bridging in the macular region during early follow-up. Observations of the cases revealed subsequent remnant vitreous cortex traction remission and spontaneous closure of MH during follow-up, although with subsequent thin macular and abnormal macular structure.

Conclusion: The progression of secondary MH formation in the cases may be related to vitreomacular traction (VMT) by the posterior vitreous cortex remnant after PPV, and the release of VMT may help the spontaneous closure of the MH after PPV for RRD.

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Source
http://dx.doi.org/10.1016/j.pdpdt.2024.104357DOI Listing

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