SPONTANEOUS CLOSURE OF MACULAR HOLE AFTER DRAINAGE OF SUBFOVEAL PERFLUOROCARBON LIQUID
| Autor: | Edward J. Casswell, David G. Charteris, Philip J Banerjee, Paul M. Sullivan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Fovea Centralis
medicine.medical_specialty Time Factors genetic structures Remission Spontaneous Visual Acuity Endotamponade 03 medical and health sciences 0302 clinical medicine Optical coherence tomography Ophthalmology medicine Perfluorocarbon liquid Humans Silicone Oils Macular hole Fluorocarbons medicine.diagnostic_test business.industry Spontaneous closure Retinal Detachment Retinal detachment repair Foveal atrophy General Medicine Middle Aged Retinal Perforations medicine.disease Cannula eye diseases 030221 ophthalmology & optometry Drainage sense organs Tamponade business Tomography Optical Coherence 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | RETINAL Cases & Brief Reports. 11:240-242 |
| ISSN: | 1935-1089 |
| DOI: | 10.1097/icb.0000000000000340 |
| Popis: | PURPOSE To report a rare case of macular hole formation after drainage of subretinal perfluorocarbon liquid (PFCL), which closed spontaneously. METHODS Retrospective case report. A 60-year-old was noted to have subfoveal PFCL after a macula-involving retinal detachment repair with silicone oil tamponade. Spectral domain optical coherence tomography (Spectralis; Heidelberg Engineering, Heidelberg, Germany) was used for postoperative imaging. RESULTS Two months postdetachment repair, the patient underwent removal of silicone oil and drainage of subfoveal PFCL using a 41-gauge cannula through a extrafoveal retinotomy. A full-thickness macular hole was noted 2 weeks postoperatively. This closed spontaneously 4 months later, with an improvement in vision, although there was evidence of subfoveal atrophy. CONCLUSION Macular hole formation can occur after drainage of subfoveal PFCL, with a favorable prognosis if managed conservatively. The resultant foveal atrophy highlights the importance of early identification and removal of subretinal PFCL. |
| Databáze: | OpenAIRE |
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