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Rayan Alshareef, Nastaran Nashki, Geoff Williams, Amin Kherani; MACULAR HOLE AFTER RHEGMATOGENOUS RETINAL DETACHMENT REPAIR. Invest. Ophthalmol. Vis. Sci. 2018;59(9):4252.
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© ARVO (1962-2015); The Authors (2016-present)
To describe the clinical characteristics of and risk factors for the development of full thickness macular hole (MH) after rhegmatogenous retinal detachment (RRD) repair.
Methods: Retrospective case-control study from July 2004 to September 2017. Medical and surgical records of 5123 patients were reviewed. A total of 27 patients who underwent repair of RRD with subsequent development of a full thickness MH were identified and compared to 63 age- and gender-matched control patients undergoing repair for RRD. Clinical features of patients who developed MM after RRD repair and analysis of potential risk factors (age, type of retinal detachment, surgical technique, phakic status, refractive error, subsequent cataract surgery and the presence of cystoid macular edema, an epiretinal membrane and lattice degeneration).
The average time to presentation for post RRD MH was 85.2 days. 81.8 ± 4 % of these MH presented with macula off detachments. Post-RRD MH have had more surgeries pre-MH development, more likely to be pseudophakic, have cystoid macular edema, lattice degeneration and epiretinal membranes.
Conclusions: Macular hole after primary RRD is rare but potentially limits visual improvement. Although the cause is often unclear, young age, epiretinal membrane formation, lattice degeneration and cataract extraction may be contributing risk factors in some eyes.Macular hole after primary RRD is rare but potentially limits visual improvement. Although the cause is often unclear tractional forces around fovea, young age, cystoid macular degeneration, epiretinal membrane formation, lattice degeneration and cataract extraction may be contributing risk factors in some eyes.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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