RESUMO
La formación de un agujero macular tras una vitrectomía por desprendimiento de retina regmatógeno es una complicación rara. Aunque existen diferentes opciones quirúrgicas en el tratamiento de estos agujeros maculares con buenos resultados, se ha demostrado que el antecedente de un desprendimiento de retina con compromiso macular es el factor de riesgo más importante relacionado con la necesidad de múltiples intervenciones para el cierre de estos agujeros, por lo que debe prestarse especial atención al manejo de estos pacientes. Presentamos el caso de una paciente con desprendimiento de retina regmatógeno con compromiso macular que requirió tratamiento con cirugía de catarata, implante de lente intraocular y vitrectomía vía pars plana. Cuatro años después de la cirugía primaria presentó un agujero macular grande y fue tratada con membrana de plasma rica en factores de crecimiento con cierre del agujero macular y mejoría visual sin recidiva 12 meses después de la cirugía (AU)
The formation of a macular hole after vitrectomy due to rhegmatogenous retinal detachment is a rare complication. Although there are different surgical options in the treatment of these macular holes with favorable outcomes, it has been shown that the history of macula-off retinal detachment is the most important risk factor related to the need for multiple interventions to close these macular holes, therefore special attention should be paid in the management of these patients. We present the case of a patient with macula-off rhegmatogenous retinal detachment who required treatment with cataract surgery with intraocular lens implant and pars plana vitrectomy. Four years after the primary surgery, she presented a large macular hole, and was treated with membrane of plasm rich in growth factors with closure of the macular hole and visual improvement without recurrence 12 months after surgery (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Descolamento Retiniano/terapia , Perfurações Retinianas/terapia , Membrana Celular , Plasma Rico em Plaquetas , Resultado do Tratamento , Vitrectomia , Imagem MultimodalRESUMO
The formation of a macular hole after vitrectomy due to rhegmatogenous retinal detachment is a rare complication. Although there are different surgical options in the treatment of these macular holes with favorable outcomes, it has been shown that the history of macula-off retinal detachment is the most important risk factor related to the need for multiple interventions to close these macular holes, therefore special attention should be paid in the management of these patients. We present the case of a patient with macula-off rhegmatogenous retinal detachment who required treatment with cataract surgery with intraocular lens implant and pars plana vitrectomy. Four years after the primary surgery, she presented a large macular hole, and was treated with membrane of plasm rich in growth factors with closure of the macular hole and visual improvement without recurrence 12 months after surgery.
