|Year : 2020 | Volume
| Issue : 3 | Page : 526
Kunal K Shah, Pramod S Bhende
Shri Bhagwan Mahavir Vitreoretina Services, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India
|Date of Web Publication||14-Feb-2020|
Dr. Pramod S Bhende
Shri Bhagwan Mahavir Vitreoretina Services, Medical Research Foundation, Sankara Nethralaya, No 18, College Road,
Nungambakkam, Chennai - 600 006, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Shah KK, Bhende PS. Swiss-cheese macula. Indian J Ophthalmol 2020;68:526
A 61-year-old female presented with poor vision (20/200, N36) and a postmacular hole surgery done a year ago.
Left eye fundus and the red-free image shows posterior pole retinal detachment (RD) and multiple full-thickness defects within the macular area, giving a “Swiss cheese” appearance. Optical coherence tomography (OCT) shows full-thickness defects with bridging retinal tissue, cystic changes, and neurosensory detachment [Figure 1].
|Figure 1: Composite image includes fundus and optical coherence tomography pictures|
Click here to view
Paracentral retinal breaks after internal limiting membrane (ILM) peeling are rare.,,,, Postulated mechanisms include mechanical trauma while grasping ILM, weakening of glial structure because of Muller cells damage leading to photoreceptor apoptosis and contracture of remnant ILM tissues. They are stationary but are responsible for poor vision.
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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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
Conflicts of interest
There are no conflicts of interest.
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