A Case of Secondary Macular Hole Formation after Phacoemulsification in a Vitrectomized Eye
Journal of the Korean Ophthalmological Society
; : 597-601, 2012.
Article
em Ko
| WPRIM
| ID: wpr-143961
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To report a case of secondary macular hole formed after phacoemulsification in a vitrectomized eye which was treated with macular hole surgery. CASE SUMMARY: A 53-year-old man with a history of pars plana vitrectomy developed a cataract in his left eye. Uncomplicated cataract surgery involving phacoemulsification with posterior chamber intraocular lens implantation was performed. At his routine 3-month post-operative visit, he reported metamorphopsia. Fundus examinations and optical coherence tomography revealed a cystoid macular edema and a full thickness macular hole. He underwent repair of the macular hole including internal limiting membrane peeling and gas injection. Three months later, post-operative examinations showed anatomical closure of the macular hole. CONCLUSIONS: When performing cataract surgery, even in a previously vitrectomized eye, clinicians should be aware of the possibility of cystoid macular edema. A thorough pre- and post-operative assessment, including fundus examinations and optical coherence tomography must be carefully performed in order to detect a macular hole associated with cystoid macular edema. And prompt treatment is required when a macular hole is detected.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Perfurações Retinianas
/
Transtornos da Visão
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Vitrectomia
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Catarata
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Edema Macular
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Facoemulsificação
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Implante de Lente Intraocular
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Tomografia de Coerência Óptica
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Olho
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Membranas
Limite:
Humans
Idioma:
Ko
Ano de publicação:
2012
Tipo de documento:
Article