J Korean Ophthalmol Soc > Volume 55(10); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(10):1487-1492.
DOI: https://doi.org/10.3341/jkos.2014.55.10.1487    Published online October 15, 2014.
Characteristics and Surgical Outcome of Macular Holes Developing after Rhegmatogenous Retinal Detachment Repair.
Sang Youn Han, Seul Gi Yoo, Young Ju Lew, Su Jin Yu, Jung Il Han, Dong Won Lee, Sung Won Cho, Tae Gon Lee, Chul Gu Kim, Jung Woo Kim, Joo Yeon Kim
Myunggok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. redmanson@kimeye.com
망막박리 수술 후에 생긴 황반원공의 발생 위험인자와 치료결과
한상윤⋅유슬기⋅유영주⋅유수진⋅한정일⋅이동원⋅조성원⋅이태곤⋅김철구⋅김종우⋅김주연
Myunggok eye research institute, Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, Seoul, Korea
Abstract
PURPOSE
To report the characteristics and surgical outcome of macular holes (MHs) that develop after rhegmatogenous retinal detachment (RRD) repair. METHODS: A retrospective chart review was performed in patients who developed a new full-thickness macular hole after RRD repair between May 2010 and July 2013. For eyes that underwent pars plana vitrectomy with internal limiting membrane peeling and gas tamponade for MH repair, main outcomes included macular attachment status and postoperative visual acuity. RESULTS: Fourteen full-thickness MHs were detected in a series of 2,815 eyes (0.49% prevalence) that had undergone prior RRD surgery. Ten MHs developed after primary vitrectomy and four after scleral bucking surgery. The fovea was detached in eight of the 14 eyes at the time of RRD. Fourteen of 14 eyes were managed by pars plana vitrectomy, internal limiting membrane peeling, and intravitreal gas tamponade, and 12 of 14 eyes achieved MH closure. Mean preoperative Snellen best-corrected visual acuity (BCVA) was 20/63 (+/-0.25). Nine of 14 eyes had an improvement in visual acuity of at least two Snellen lines, and five eyes remained unchanged. CONCLUSIONS: In this small retrospective study, the secondary MHs were found predominantly in foveal detachments after RRD repair, most commonly occurring after primary vitrectomy. In conclusion, the surgical outcome and postoperative visual acuity improvement were satisfactory, although the final BCVA depended on the macular status during the RRD.
Key Words: Macular hole;Retinal detachment;Surgical outcome


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