A Case of Secondary Macular Hole Formation after Phacoemulsification in a Vitrectomized Eye
Journal of the Korean Ophthalmological Society
;
: 597-601, 2012.
Article
in Korean
| WPRIM
| ID: wpr-143968
ABSTRACT
PURPOSE:
To report a case of secondary macular hole formed after phacoemulsification in a vitrectomized eye which was treated with macular hole surgery. CASESUMMARY:
A 53-year-old man with a history of pars plana vitrectomy developed a cataract in his left eye. Uncomplicated cataract surgery involving phacoemulsification with posterior chamber intraocular lens implantation was performed. At his routine 3-month post-operative visit, he reported metamorphopsia. Fundus examinations and optical coherence tomography revealed a cystoid macular edema and a full thickness macular hole. He underwent repair of the macular hole including internal limiting membrane peeling and gas injection. Three months later, post-operative examinations showed anatomical closure of the macular hole.CONCLUSIONS:
When performing cataract surgery, even in a previously vitrectomized eye, clinicians should be aware of the possibility of cystoid macular edema. A thorough pre- and post-operative assessment, including fundus examinations and optical coherence tomography must be carefully performed in order to detect a macular hole associated with cystoid macular edema. And prompt treatment is required when a macular hole is detected.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retinal Perforations
/
Vision Disorders
/
Vitrectomy
/
Cataract
/
Macular Edema
/
Phacoemulsification
/
Lens Implantation, Intraocular
/
Tomography, Optical Coherence
/
Eye
/
Membranes
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2012
Type:
Article
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