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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2018  |  Volume : 66  |  Issue : 12  |  Page : 1865

Secondary paracentral retinal hole following internal limiting membrane peeling for a large macular hole


Vitreo-Retina Services, Sri Sankaradeva Nethralaya, Guwahati, Assam, India

Date of Web Publication19-Nov-2018

Correspondence Address:
Dr. Diva Kant Misra
Vitreo-Retina Services, Sri Sankaradeva Nethralaya, 96, Basistha Road, Beltola, Guwahati - 781 028, Assam
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1001_18

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How to cite this article:
Misra DK, Soibam R, Upadhyay A, Dhir P, Paidi R. Secondary paracentral retinal hole following internal limiting membrane peeling for a large macular hole. Indian J Ophthalmol 2018;66:1865

How to cite this URL:
Misra DK, Soibam R, Upadhyay A, Dhir P, Paidi R. Secondary paracentral retinal hole following internal limiting membrane peeling for a large macular hole. Indian J Ophthalmol [serial online] 2018 [cited 2019 May 21];66:1865. Available from: http://www.ijo.in/text.asp?2018/66/12/1865/245598



Main text: A 75-year-old female with a diagnosis of large (basal diameter 1,685 μm) Stage 3 macular hole [Figure 1]a and [Figure 1]b and coexisting epiretinal membrane (BCVA 6/60) underwent uneventful and atraumatic 25 G vitrectomy along with brilliant blue-assisted internal limiting membrane peeling. Postoperative evaluation after 1 month revealed a secondary paracentral retinal hole formation [Figure 1]c and [Figure 1]d along with reduction in the size of the macular hole (BCVA 6/36). Pars plana vitrectomy with internal limiting membrane peeling is the standard technique for the management of large macular holes.[1] Surgeons performing macular hole should be aware of this relatively rare complication[2],[3],[4] while performing the procedure. Secondary holes closer to the fovea may require resurgery with gas tamponade.[5]
Figure 1: Preoperative colour fundus photograph (a) and optical coherence tomography (b) showing a large macular hole with coexisitng epiretinal membrane. Postoperative colour fundus photograph (c) and optical coherence tomography (d) revealed a secondary paracentral retinal hole with reduction in size of the macular hole

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Eckardt C, Eckardt U, Groos S, Luciano L, Reale E. Removal of the internal limiting membrane in macular holes. Clinical and morphological findings. Ophthalmologe 1997;94:545-51.  Back to cited text no. 1
    
2.
Hussain N, Mitra S. Multiple extrafoveal macular holes following internal limiting membrane peeling. Int Med Case Rep J 2018;11:105-11.  Back to cited text no. 2
    
3.
Chatziralli I, Theodossiadis G, Douvali M, Rouvas AA, Theodossiadis P. Eccentric macular hole after pars plana vitrectomy for idiopathic macular hole: A case report. Case Rep Ophthalmol 2017;8:116-9.  Back to cited text no. 3
    
4.
Steven P, Laqua H, Wong D, Hoerauf H. Secondary paracentral retinal holes following internal limiting membrane removal. Br J Ophthalmol 2006;90:293-5.  Back to cited text no. 4
    
5.
Garnavou-Xirou C, Xirou T, Kabanarou S, Gkizis I, Velissaris S, Chatziralli I, et al. Eccentric macular hole after pars plana vitrectomy for epiretinal membrane without internal limiting membrane peeling: A case report. Ophthalmol Ther 2017;6:391-5.  Back to cited text no. 5
    


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