Verena Schöneberger, Rahul A Jonas, Leonie Menghesha, Claudia Brockmann, Tim U Krohne, Claus Cursiefen, Thomas A Fuchsluger, Friederike Schaub
{"title":"孔源性视网膜脱离全玻璃体切除术后继发全层黄斑裂孔：罕见，闭合率好。","authors":"Verena Schöneberger, Rahul A Jonas, Leonie Menghesha, Claudia Brockmann, Tim U Krohne, Claus Cursiefen, Thomas A Fuchsluger, Friederike Schaub","doi":"10.1097/IAE.0000000000004408","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Formation of a full thickness macular hole (FTMH) after vitrectomy is rare. The aim of this study was to describe risk factors, clinical course, anatomical and functional prognosis of secondary FTMH development following surgery for primary rhegmatogenous retinal detachment (RRD).</p><p><strong>Methods: </strong>Retrospective study. Eyes treated for RRD at two centers between 01/2012 and 12/2022 were screened and those that developed secondary FTMH after pars plana vitrectomy (PPV) without membrane peeling were included in our analysis.</p><p><strong>Results: </strong>29 eyes (mean age 58.9±9.5 years, 51.7% female) of 5,219 eyes developed secondary FTMH following PPV for retinal detachment, equaling a rate of 0.56%. Median interval between vitrectomy and FTMH diagnosis was 14.0 months (Q1 2.0; Q3 61.0; range 1 - 373). FTMH was treated by re-PPV, Membrane limitans interna peeling, sulfur hexafluoride (SF6 20-25%) endotamponade in 22, silicone oil in 6, and heavy silicone oil in 1 eye. In 88.0% FTMH closure was observed after surgery. Postoperative mean visual acuity of all eyes was 20/145 Snellen (0.86±0.76 logMAR) versus preoperative 20/215 (1.03±0.43; p<0.001).</p><p><strong>Conclusion: </strong>Secondary FTMH after RRD repair is a rare occurrence complication and can often be successfully treated by re-PPV. Visual acuity improves following successful hole closure, but less than in primary FTMHs.</p>","PeriodicalId":54486,"journal":{"name":"Retina-The Journal of Retinal and Vitreous Diseases","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Secondary full thickness macular holes following complete vitrectomy for rhegmatogenous retinal detachment: rare occurrence with good closure rate.\",\"authors\":\"Verena Schöneberger, Rahul A Jonas, Leonie Menghesha, Claudia Brockmann, Tim U Krohne, Claus Cursiefen, Thomas A Fuchsluger, Friederike Schaub\",\"doi\":\"10.1097/IAE.0000000000004408\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Formation of a full thickness macular hole (FTMH) after vitrectomy is rare. The aim of this study was to describe risk factors, clinical course, anatomical and functional prognosis of secondary FTMH development following surgery for primary rhegmatogenous retinal detachment (RRD).</p><p><strong>Methods: </strong>Retrospective study. Eyes treated for RRD at two centers between 01/2012 and 12/2022 were screened and those that developed secondary FTMH after pars plana vitrectomy (PPV) without membrane peeling were included in our analysis.</p><p><strong>Results: </strong>29 eyes (mean age 58.9±9.5 years, 51.7% female) of 5,219 eyes developed secondary FTMH following PPV for retinal detachment, equaling a rate of 0.56%. Median interval between vitrectomy and FTMH diagnosis was 14.0 months (Q1 2.0; Q3 61.0; range 1 - 373). FTMH was treated by re-PPV, Membrane limitans interna peeling, sulfur hexafluoride (SF6 20-25%) endotamponade in 22, silicone oil in 6, and heavy silicone oil in 1 eye. In 88.0% FTMH closure was observed after surgery. Postoperative mean visual acuity of all eyes was 20/145 Snellen (0.86±0.76 logMAR) versus preoperative 20/215 (1.03±0.43; p<0.001).</p><p><strong>Conclusion: </strong>Secondary FTMH after RRD repair is a rare occurrence complication and can often be successfully treated by re-PPV. Visual acuity improves following successful hole closure, but less than in primary FTMHs.</p>\",\"PeriodicalId\":54486,\"journal\":{\"name\":\"Retina-The Journal of Retinal and Vitreous Diseases\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-01-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Retina-The Journal of Retinal and Vitreous Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/IAE.0000000000004408\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retina-The Journal of Retinal and Vitreous Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/IAE.0000000000004408","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Secondary full thickness macular holes following complete vitrectomy for rhegmatogenous retinal detachment: rare occurrence with good closure rate.
Purpose: Formation of a full thickness macular hole (FTMH) after vitrectomy is rare. The aim of this study was to describe risk factors, clinical course, anatomical and functional prognosis of secondary FTMH development following surgery for primary rhegmatogenous retinal detachment (RRD).
Methods: Retrospective study. Eyes treated for RRD at two centers between 01/2012 and 12/2022 were screened and those that developed secondary FTMH after pars plana vitrectomy (PPV) without membrane peeling were included in our analysis.
Results: 29 eyes (mean age 58.9±9.5 years, 51.7% female) of 5,219 eyes developed secondary FTMH following PPV for retinal detachment, equaling a rate of 0.56%. Median interval between vitrectomy and FTMH diagnosis was 14.0 months (Q1 2.0; Q3 61.0; range 1 - 373). FTMH was treated by re-PPV, Membrane limitans interna peeling, sulfur hexafluoride (SF6 20-25%) endotamponade in 22, silicone oil in 6, and heavy silicone oil in 1 eye. In 88.0% FTMH closure was observed after surgery. Postoperative mean visual acuity of all eyes was 20/145 Snellen (0.86±0.76 logMAR) versus preoperative 20/215 (1.03±0.43; p<0.001).
Conclusion: Secondary FTMH after RRD repair is a rare occurrence complication and can often be successfully treated by re-PPV. Visual acuity improves following successful hole closure, but less than in primary FTMHs.
期刊介绍：
RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice.
In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color.
Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.
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