FEB 15, 2019
Surgical Technique for a Chronic Macular Hole
AAO 2018 Video Program
01:49
Macular Disease, Retina/Vitreous
We present a case of a woman with large and chronic macular hole (MH) in her right eye. The MH was secondary to a pars plana vitrectomy (PPV) to a rhegmatogenous retinal detachment surgery 1 year previous. A PPV with an internal limiting membrane peeling was performed, and also a 38-gauge subretinal infusion of balanced salt solution (BSS) to induce a posterior pole detachment. SF6 20% was used as tamponade. At 30 days postoperative, her visual acuity had improved from 20/400 to 20/200, with shortening of the macular hole area by spectral domain OCT. More follow-up is needed.