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May 2006

Retinal Hole

Sharon Fekrat, MD, and Michael P. Kelly, Duke University Eye Center, Durham, N.C.

May 2006 Blink

A healthy 15-year-old male was referred for decreased vision of unknown duration in the right eye. Visual acuity was 20/400. Examination of the amblyopic right eye revealed a macula-off rhegmatogenous retinal detachment. A retinal hole was apparent temporal to the optic disc.

A pars plana vitrectomy was performed with successful reattachment of the retina. Laser was placed around the hole, which, once flattened, sat on the inside wall of a localized staphyloma in the papillomacular bundle, and the area was tamponaded with C3F8 gas. Visual acuity was 20/400 and with pinhole to 20/200 at three months postoperatively.

Blink is edited by Richard E. Hackel, MA, CRA, FOPS.