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Partial-thickness macular hole in vitreomacular traction syndrome: a case report and review of the literature.

Kumar N, Al Kandari J, Al Sabti K, Wani VB - J Med Case Rep (2010)

Bottom Line: It may lead to many complications, such as cystoid macular edema, macular pucker formation, tractional macular detachment, and full-thickness macular hole formation.After the operation, his foveal contour regained normal configuration, and his visual acuity improved from 20/60 to 20/30.The relief of traction by vitrectomy restores foveal anatomy and visual acuity in this condition.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Ophthalmology, Al Bahar Ophthalmology Center, Ibn Sina Hospital, Kuwait City, Kuwait. nirkumar@hotmail.com.

ABSTRACT

Introduction: Vitreomacular traction syndrome has recently been recognized as a distinct clinical condition. It may lead to many complications, such as cystoid macular edema, macular pucker formation, tractional macular detachment, and full-thickness macular hole formation.

Case presentation: We report a case of vitreomacular traction syndrome with eccentric traction at the macula and a partial-thickness macular hole in a 63-year-old Pakistani Punjabi man. The patient was evaluated using optical coherence tomography, and he underwent a successful pars plana vitrectomy. After the operation, his foveal contour regained normal configuration, and his visual acuity improved from 20/60 to 20/30.

Conclusions: Pars plana vitrectomy prevents the progression of a partial thickness macular hole in vitreomacular traction syndrome. The relief of traction by vitrectomy restores foveal anatomy and visual acuity in this condition.

No MeSH data available.


Related in: MedlinePlus

This preoperative fundus photograph shows a partial-thickness macular hole.
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Figure 1: This preoperative fundus photograph shows a partial-thickness macular hole.

Mentions: A 63-year-old Pakistani Punjabi man presented to our hospital with gradual diminution of vision in his left eye for the last six months. He had diabetes and was on oral hypoglycemic agents for the last four years. He did not have a history of refractive error, ocular inflammation, or surgery. On examination, his best corrected visual acuity was 20/20 in his right eye and 20/60 in his left eye. Anterior segment examination was unremarkable except for the finding that he had mild cortical lens changes in both eyes. Fundus examination by slit lamp biomicroscopy showed that he had an epiretinal membrane at the macula in his right eye and a vitreomacular traction causing a partial-thickness macular hole in his left eye (Figure 1). The traction was seen superior and temporal to the macula. There was no evidence of diabetic retinopathy in either eye.


Partial-thickness macular hole in vitreomacular traction syndrome: a case report and review of the literature.

Kumar N, Al Kandari J, Al Sabti K, Wani VB - J Med Case Rep (2010)

This preoperative fundus photograph shows a partial-thickness macular hole.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2823762&req=5

Figure 1: This preoperative fundus photograph shows a partial-thickness macular hole.
Mentions: A 63-year-old Pakistani Punjabi man presented to our hospital with gradual diminution of vision in his left eye for the last six months. He had diabetes and was on oral hypoglycemic agents for the last four years. He did not have a history of refractive error, ocular inflammation, or surgery. On examination, his best corrected visual acuity was 20/20 in his right eye and 20/60 in his left eye. Anterior segment examination was unremarkable except for the finding that he had mild cortical lens changes in both eyes. Fundus examination by slit lamp biomicroscopy showed that he had an epiretinal membrane at the macula in his right eye and a vitreomacular traction causing a partial-thickness macular hole in his left eye (Figure 1). The traction was seen superior and temporal to the macula. There was no evidence of diabetic retinopathy in either eye.

Bottom Line: It may lead to many complications, such as cystoid macular edema, macular pucker formation, tractional macular detachment, and full-thickness macular hole formation.After the operation, his foveal contour regained normal configuration, and his visual acuity improved from 20/60 to 20/30.The relief of traction by vitrectomy restores foveal anatomy and visual acuity in this condition.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Ophthalmology, Al Bahar Ophthalmology Center, Ibn Sina Hospital, Kuwait City, Kuwait. nirkumar@hotmail.com.

ABSTRACT

Introduction: Vitreomacular traction syndrome has recently been recognized as a distinct clinical condition. It may lead to many complications, such as cystoid macular edema, macular pucker formation, tractional macular detachment, and full-thickness macular hole formation.

Case presentation: We report a case of vitreomacular traction syndrome with eccentric traction at the macula and a partial-thickness macular hole in a 63-year-old Pakistani Punjabi man. The patient was evaluated using optical coherence tomography, and he underwent a successful pars plana vitrectomy. After the operation, his foveal contour regained normal configuration, and his visual acuity improved from 20/60 to 20/30.

Conclusions: Pars plana vitrectomy prevents the progression of a partial thickness macular hole in vitreomacular traction syndrome. The relief of traction by vitrectomy restores foveal anatomy and visual acuity in this condition.

No MeSH data available.


Related in: MedlinePlus