Early reopening in a case after macular hole surgery Toshiharu Choshi 1 , Hirofumi Kono 1 , Machiko Tanimura 1 , Kenichi Kimoto 1 , Yasuhiro Takaki 1 , Kazuo Nakatsuka 1 1Dept of Brain and Nerve Sci, Ophthalmol, Fac of Med, Oita Univ pp.1725-1728
Published Date 2007/9/15
DOI https://doi.org/10.11477/mf.1410101934
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Abstract. Purpose:To report early reopening in a case after macular hole surgery. Case:A 72-year-old male presented with macular hole in his left eye. His corrected visual acuity was 0.5 right and 0.04 left. The left eye showed a macular hole of 0.5 disc diameter in size and compatible with stage 3 after Gass. The left eye received lens extraction, intraocular lens implantation, and vitreous surgery. Internal limiting membrane(ILM)was peeled after artificial vitreous detachment by injection of triamcinolone. The macular hole was closed 4 days after surgery. It reopened another 2 days later. It eventually closed after additional ILM peeling and fluid-air exchange. There has been no recurrence for one year until present with visual acuity of 0.2. Conclusion:There is a possibility that cases have been judged as nonclosure when the macular hole actually closed but reopened soon after surgery.

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