J Korean Ophthalmol Soc.  2008 Aug;49(8):1341-1344. 10.3341/jkos.2008.49.8.1341.

Eccentric Macular Hole Formation After Macular Hole Surgery

• Hwang SJ
• Park JI
• Lee JH

• KMID: 2211742
• DOI: http://doi.org/10.3341/jkos.2008.49.8.1341

Abstract

PURPOSE
To report a case of eccentric macular hole formation after surgery for a traumatic macular hole.
CASE SUMMARY
A 27-year-old man was admitted to our hospital because of baseball trauma to his left eye. A vitreous hemorrhage and Berlin's edema were found in the macula. One month later, a full thickness macular hole was detected. Vitrectomy and internal limiting membrane (ILM) peeling and gas injection were performed. Two months postoperatively, the primary macular hole was closed, but an eccentric macular hole temporal to the fovea was observed.

Keyword

Eccentric macular hole; Internal limiting membrane peeling; Traumatic macular hole

MeSH Terms

Adult
Baseball
Edema
Eye
Humans
Membranes
Retinal Perforations
Vitrectomy
Vitreous Hemorrhage

Figure

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  Figure 1. Preoperative fundus photograph and corresponding OCT image. The image shows a full-thickness macular hole.

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  Figure 2. Postoperative fundus photograph and corresponding OCT image at the fovea (A) and eccentric macular hole area (B). The image shows primary macualar hole closing and an eccentric (temporal) full-thickness macular hole occurred after surgery.

Reference

References

1. Ho AC, Guyer DR, Fine SL. Macular hole. Surv Ophthalmol. 1998; 42:393–416.

2. Johnson RN, McDonald HR, Lewis H. . Traumatic macular hole: observations, pathogenesis, and results of vitrectomy. surgery Ophthalmology. 2001; 108:853–7.

3. Yamada H, Sakai A, Yamada E. . Spontaneous closure of traumatic macular hole. Am J Ophthalmol. 2002; 134:340–7.

4. Smiddy WE, Flynn HW Jr. Pathogenesis of macular holes and therapeutic implications. Am J Ophthalmol. 2004; 137:525–37.

5. Rubin JS, Glaser BM, Thompson JT. . Vitrectomy, fluid-gas exchange and transforming growth factor-beta 2 for the treatment of traumatic macular holes. Ophthalmology. 1995; 102:1840–5.

6. de Bustros S. Vitreous surgery for traumatic macular hole. Retina. 1996; 16:451–2.

7. Madreperla SA, Benetz BA. Formation and treatment of a traumatic macular hole. Arch Ophthalmol. 1997; 115:1210–1.

8. García-Arumí J, Corcostegui B, Cavero L, Sararols L. The role of vitreoretinal surgery in the treatment of posttraumatic macular hole. Retina. 1997; 17:372–7.

9. Margherio AR, Margherio RR, Hartzer M. . Plasmin enzyme-assisted vitrectomy in traumatic pediatric macular holes. Ophthalmology. 1998; 105:1617–20.

10. Rubinstein A, Bates R, Benjamin L, Shaikh A. Iatrogenic eccentric full thickness macular holes following vitrectomy with ILM peeling for idiopathic macular holes. Eye. 2005; 19:1333–5.

11. Polkinhorne PJ, Roufail E. Eccentric macular hole formation associated with macular hole surgery. Eye. 2007; 21:122–3.

12. Mason JO 3rd, Feist RM, Albert MA Jr. Eccentric macular holes after vitrectomy with peeling of epimacular proliferation. Retina. 2007; 27:45–8.

13. Yeh S, Bourgeois KA, Benz MS. Full-thickness eccentric macular hole following vitrectomy with internal limiting membrane peeling. Ophthalmic Surg Lasers Imaging. 2007; 38:59–60.

14. Gass JD. Idiopathic senile macular hole. Its early stage and pathogenesis. Arch Ophthalmol. 1988; 106:629–39.