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OPHTHALMIC IMAGE |
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Year : 2020 | Volume
: 68
| Issue : 3 | Page : 526 |
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Swiss-cheese macula
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 |
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
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_1425_19
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
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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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 | | |
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. |
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. |
3. | Steven P. Secondary paracentral retinal holes following internal limiting membrane removal. Br J Ophthalmol 2006;90:293-5. |
4. | Hussain N, Mitra S. Multiple extrafoveal macular holes following internal limiting membrane peeling. Int Med Case Rep J 2018;11:105-11. |
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. |
[Figure 1]
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