Delayed Sealing of Macular Hole after Vitrectomy with Silicone Oil Tamponade.

Choi, Yong Min; Oh, Jaeryung; Kim, Seong Woo; Huh, Kuhl

doi:2013.54.4.686

J Korean Ophthalmol Soc > Volume 54(4); 2013 > Article

Case Report

Journal of the Korean Ophthalmological Society 2013;54(4):686-690.
DOI: https://doi.org/10.3341/jkos.2013.54.4.686 Published online April 30, 2013.

Delayed Sealing of Macular Hole after Vitrectomy with Silicone Oil Tamponade.

Yong Min Choi, Jaeryung Oh, Seong Woo Kim, Kuhl Huh

Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. ojr4991@yahoo.co.kr

실리콘기름주입술을 동반한 유리체절제술 시행 후 지연 폐쇄된 황반원공 1예

최용민⋅오재령⋅김성우⋅허 걸

Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea

Abstract

PURPOSE
To report a case of delayed sealing of full-thickness macular hole associated with diabetic retinopathy after vitrectomy with silicone oil tamponade. CASE SUMMARY: A 63-year-old woman visited our clinic complaining of decreased visual acuity in her left eye. Fundoscopy showed a full-thickness macular hole with vitreomacular traction in the left eye and bilateral proliferative diabetic retinopathy. The patient underwent uncomplicated phacoemulsification and pars plana vitrectomy with silicone oil tamponade because her vision in the contralateral eye was only light perception. She was unable to maintain a prone position postoperatively due to anterior chamber hyphema. At 1.5 months after surgery, vitreomacular traction was removed but the hole was not sealed as observed on optical coherence tomography. Approximately 3 months after vitrectomy, the macular hole was sealed with minimal subfoveal fluid. At 6 months after vitrectomy, the macular hole was closed completely with no subfoveal fluid.

Key Words: Delayed sealing;Macular hole;Silicone oil tamponade