DELAYED CLOSURE OF A FULL-THICKNESS MACULAR HOLE AFTER PARS PLANA VITRECTOMY WITH INTERNAL LIMITING MEMBRANE FLAP.

Q3 Medicine

Retinal Cases and Brief Reports Pub Date : 2025-03-01 DOI:10.1097/ICB.0000000000001525

Shahanaz B Ahmed, Sufiyan Shaikh, Jason Ho

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引用次数: 0

Abstract

Background/purpose: The aim of this study is to describe a patient with delayed closure of a stage 3 full-thickness macular hole after pars plana vitrectomy.

Methods: This is a retrospective case report. Details of the case were obtained from the electronic patient record system, Medisoft.

Results: A 65-year-old man was referred with a left stage 3 full-thickness macular hole measuring 720 μ m and visual acuity of 6/36. He underwent phacovitrectomy, internal limiting membrane peel with an inverted internal limiting membrane flap, and C 3 F 8 gas tamponade. Seven weeks after surgery, the macular hole was smaller at 196 μ m but remained open. The patient was listed for repeat surgery; however, another 13 weeks later, the full-thickness macular hole demonstrated type 2 closure without further intervention.

Conclusion: Delayed macular hole closure after pars plana vitrectomy is rare. In cases where there has been a substantial decrease in the size of a full-thickness macular hole after surgery without full closure, a short period of observation to allow for further closure may be appropriate before reconsidering surgery.

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使用ILM瓣进行玻璃体旁切除术后全厚黄斑孔的延迟闭合。

目的：我们的目的是描述一名在玻璃体旁切除术后延迟关闭 3 期全厚黄斑孔的患者：方法：回顾性病例报告。病例的详细信息来自电子病历系统 Medisoft：一名 65 岁的男性因左眼第 3 期全厚黄斑洞（720 微米）和视力 6/36 转诊。他接受了虹膜切除术、ILM剥离术和倒置ILM瓣，并接受了C3F8气体填塞术。术后 7 周，黄斑孔变小至 196 微米，但仍处于开放状态。患者被列入再次手术名单，但13周后，全厚黄斑孔显示为2型闭合，无需进一步干预：讨论/结论：玻璃体旁切除术后黄斑孔延迟闭合的情况很少见。如果手术后全厚黄斑洞的大小显著缩小，但没有完全闭合，在重新考虑手术之前，可以适当进行短期观察，以便进一步闭合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retinal Cases and Brief Reports Medicine-Ophthalmology

CiteScore

2.10

自引率

0.00%

发文量

342