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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 3  |  Page : 526

Swiss-cheese macula


Shri Bhagwan Mahavir Vitreoretina Services, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Date of Web Publication14-Feb-2020

Correspondence Address:
Dr. Pramod S Bhende
Shri Bhagwan Mahavir Vitreoretina Services, Medical Research Foundation, Sankara Nethralaya, No 18, College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1425_19

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How to cite this article:
Shah KK, Bhende PS. Swiss-cheese macula. Indian J Ophthalmol 2020;68:526

How to cite this URL:
Shah KK, Bhende PS. Swiss-cheese macula. Indian J Ophthalmol [serial online] 2020 [cited 2020 Feb 22];68:526. Available from: http://www.ijo.in/text.asp?2020/68/3/526/278351



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

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Paracentral retinal breaks after internal limiting membrane (ILM) peeling are rare.[1],[2],[3],[4],[5] 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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Rubinstein A, Bates R, Benjamin L, Shaikh A. Iatrogenic eccentric full thickness macular holes following vitrectomy with ILM peeling for idiopathic macular holes. Eye 2005;19:1333-5.  Back to cited text no. 1
    
2.
Michalewska Z, Michalewski J, Nawrocki J. Paracentral retinal defects after vitrectomy for macular hole and their evolution over time. Retin Cases Brief Rep 2010;4:190-3.  Back to cited text no. 2
    
3.
Steven P. Secondary paracentral retinal holes following internal limiting membrane removal. Br J Ophthalmol 2006;90:293-5.  Back to cited text no. 3
    
4.
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. 4
    
5.
Brouzas D, Dettoraki M, Lavaris A, Kourvetaris D, Nomikarios N, Moschos MM. Postoperative eccentric macular holes after vitrectomy and internal limiting membrane peeling. Int Ophthalmol 2017;37:643-8.  Back to cited text no. 5
    


    Figures

  [Figure 1]



 

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