J Korean Ophthalmol Soc > Volume 53(4); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(4):597-601.
DOI: https://doi.org/10.3341/jkos.2012.53.4.597    Published online April 15, 2012.
A Case of Secondary Macular Hole Formation after Phacoemulsification in a Vitrectomized Eye.
Cheol Min Yun, Sun Mo Yang, Seong Woo Kim, Jae Ryung Oh, Kuhl Huh
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. parasols@hanmail.net
유리체 절제술을 시행한 안에서 백내장 수술 후 발생한 황반원공 1예
윤철민⋅양선모⋅김성우⋅오재령⋅허 걸
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
Abstract
PURPOSE
To report a case of secondary macular hole formed after phacoemulsification in a vitrectomized eye which was treated with macular hole surgery. CASE SUMMARY: 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.
Key Words: Cataract surgery;Cystoid macular edema;Macular hole;Vitrectomized eye


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