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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 postoperative optical coherence tomography image shows the absence of a partial-thickness macular hole, intraretinal cysts, and retinal pigment epithelial detachment.
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Figure 4: This postoperative optical coherence tomography image shows the absence of a partial-thickness macular hole, intraretinal cysts, and retinal pigment epithelial detachment.

Mentions: Three months after the operation, his OCT showed the absence of the partial-thickness macular hole and resolution of the intraretinal cysts and RPE detachment (Figure 4). He did not develop potential complications like the development of a full-thickness macular hole, progression of a cataract, retinal detachment, or endophthalmitis. His visual acuity improved to 20/40 by the third postoperative month, and finally achieved 20/30 by the sixth month. He has maintained this level of visual acuity and a flat macula for the past 18 months.


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 postoperative optical coherence tomography image shows the absence of a partial-thickness macular hole, intraretinal cysts, and retinal pigment epithelial detachment.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: This postoperative optical coherence tomography image shows the absence of a partial-thickness macular hole, intraretinal cysts, and retinal pigment epithelial detachment.
Mentions: Three months after the operation, his OCT showed the absence of the partial-thickness macular hole and resolution of the intraretinal cysts and RPE detachment (Figure 4). He did not develop potential complications like the development of a full-thickness macular hole, progression of a cataract, retinal detachment, or endophthalmitis. His visual acuity improved to 20/40 by the third postoperative month, and finally achieved 20/30 by the sixth month. He has maintained this level of visual acuity and a flat macula for the past 18 months.

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