May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Full-Thickness Macular Hole After Vitrectomy for Pit-Macular Syndrome
Author Affiliations & Notes
  • Y. Shimoda
    Department of Ophthalmology, Gunma University School of Medicine, Maebashi city, Japan
  • S. Kishi
    Department of Ophthalmology, Gunma University School of Medicine, Maebashi city, Japan
  • Footnotes
    Commercial Relationships  Y. Shimoda, None; S. Kishi, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 4713. doi:https://doi.org/
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Y. Shimoda, S. Kishi; Full-Thickness Macular Hole After Vitrectomy for Pit-Macular Syndrome. Invest. Ophthalmol. Vis. Sci. 2008;49(13):4713. doi: https://doi.org/.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: : Pit-macular syndrome (PMS) consists of retinoschisis between optic pit and macula, outer macular hole and subfoveal detachment. We report 3 cases with PMS which developed macular hole after vitrectomy.

Methods: : We treated 11 eyes of PMS with vitrectomy and gas tamponade from September 1997 to June 2007. Internal limiting membrane(ILM) peeling was performed in 7 eyes. After surgery, 3 eyes (30%) developed full thickness macular hole. Two of the 3 eyes underwent ILM peeing.

Results: : Two eyes with ILM peeling obtained closure of macular hole after one or twice fluid-gas (30%SF6) exchange. In one eye without ILM peeling, the hole did not close after fluid-gas exchange. We performed second vitrectomy with ILM peeling and gas tamponade and macular hole was finally closed. These 3 eyes obtained foveal retinal attachment and visual improvement with more than 2 lines.

Conclusions: : PMS usually has an outer macular hole with overlying thin retina. Thus macular hole may develop after vitrectomy. Macular hole may close by fluid-gas exchange in eyes with ILM peeling but second vitrectomy with ILM peeling is necessary in eyes without ILM peeling at first vitrectomy.

Keywords: retina • imaging/image analysis: clinical • vitreoretinal surgery 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×