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Ophthalmol Ther. 2017 Dec;6(2):391-395. doi: 10.1007/s40123-017-0113-7. Epub 2017 Oct 17.

Eccentric Macular Hole after Pars Plana Vitrectomy for Epiretinal Membrane Without Internal Limiting Membrane Peeling: A Case Report.

Ophthalmology and therapy

Christina Garnavou-Xirou, Tina Xirou, Stamatina Kabanarou, Ilias Gkizis, Stavros Velissaris, Irini Chatziralli

Affiliations

  1. King's College Hospital, London, UK.
  2. Red Cross Hospital, Athens, Greece.
  3. 2nd Department of Ophthalmology, University of Athens, Athens, Greece. [email protected].

PMID: 29043565 PMCID: PMC5693830 DOI: 10.1007/s40123-017-0113-7

Abstract

INTRODUCTION: Postoperative eccentric macular hole formation is an uncommon complication after pars plana vitrectomy (PPV) without internal limiting membrane (ILM) peeling for the treatment of epiretinal membrane (ERM). We present a case of eccentric macular hole formation after PPV for ERM without ILM peeling.

CASE REPORT: A 68-year-old male patient presented with ERM and visual acuity of 6/24 in his left eye. He underwent 23-gauge PPV without ILM peeling for treatment of ERM. One week postoperatively the retina was attached and the epiretinal membrane was successfully removed, while visual acuity was 6/9. One month after PPV, a single eccentric retinal hole below the macula was detected using fundoscopy and subsequently confirmed by optical coherence tomography. At this time the visual acuity was 6/9 and the patient reported no symptoms. No further intervention was attempted and at the 9-month follow-up, the visual acuity and the size of the eccentric macular hole remained stable.

CONCLUSION: Eccentric macular holes can be developed after PPV even without ILM peeling and are usually managed conservatively by observation.

Keywords: Eccentric; Epiretinal membrane; Macular hole; Vitrectomy

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