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Severe visual loss following macular hole surgery Kazushige Tsunoda 1 , Takayuki Nakashizuka 1 , Tadahiro Kohzuka 1 1Dept of Ophthalmol, Toranomon Hosp pp.511-514
Published Date 1996/4/15
DOI https://doi.org/10.11477/mf.1410904803
  • Abstract
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A 65-year-old male with stage 3 macular hole was treated by vitreous surgery with SF6 gas injection. One week later, the visual acuity was hand movements with central scotoma. Retinal vessels had become extremely narrow. Fluorescein angiography showed delayed filling of retinal vessels. Another 66 -year-old female with reopening of macular hole was treated by residual vitreous removal and SF6 gas injection. The visual acuity was hand movements two days later. Most of the retinal and choroidal vessels had become extremely narrow. Fluorescein angiography showed widespread chorioretinal atrophy along the superior and inferior vascular arcades. In both cases, the macular holes closed within two weeks. The intraocular pressure was within normal range throughout. A sudden failure in retinal and choroidal circula-tion appeared to be the cause of postoperative visual loss in these cases. The exact mechanism is unclear.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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