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Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds
An 8-year-old active boy suffered a penetrating injury to his right eye. A temporal retinal perforation with an adherent blood clot about 4-disc diameter from the fovea was noted. Six weeks after the initial primary repair, a macular hole (MH) and retinal folds radiating from the penetrating site of...
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Formato: | Texto |
Lenguaje: | English |
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S. Karger AG
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072176/ https://www.ncbi.nlm.nih.gov/pubmed/21475605 http://dx.doi.org/10.1159/000324909 |
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author | Chen, Yung-Jen |
author_facet | Chen, Yung-Jen |
author_sort | Chen, Yung-Jen |
collection | PubMed |
description | An 8-year-old active boy suffered a penetrating injury to his right eye. A temporal retinal perforation with an adherent blood clot about 4-disc diameter from the fovea was noted. Six weeks after the initial primary repair, a macular hole (MH) and retinal folds radiating from the penetrating site of the retina were found. Two months after the injury, the patient underwent a standard pars plana vitrectomy. Intraoperatively, the retinal folds still existed after creating a posterior hyaloid detachment and disappeared concurrently within the area of the internal limiting membrane peeling. Occlusion therapy was carried out after absorption of the intraocular gas. One year after the vitrectomy surgery, the MH remained closed with a visual acuity improving from 20/60 to 20/25 in his right eye. Our results suggest that vitrectomy with internal limiting membrane peeling and sequential occlusion therapy can achieve both anatomical and functional improvement in a child suffering a penetrating injury with a MH and retinal folds. |
format | Text |
id | pubmed-3072176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-30721762011-04-07 Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds Chen, Yung-Jen Case Rep Ophthalmol Published: February 2011 An 8-year-old active boy suffered a penetrating injury to his right eye. A temporal retinal perforation with an adherent blood clot about 4-disc diameter from the fovea was noted. Six weeks after the initial primary repair, a macular hole (MH) and retinal folds radiating from the penetrating site of the retina were found. Two months after the injury, the patient underwent a standard pars plana vitrectomy. Intraoperatively, the retinal folds still existed after creating a posterior hyaloid detachment and disappeared concurrently within the area of the internal limiting membrane peeling. Occlusion therapy was carried out after absorption of the intraocular gas. One year after the vitrectomy surgery, the MH remained closed with a visual acuity improving from 20/60 to 20/25 in his right eye. Our results suggest that vitrectomy with internal limiting membrane peeling and sequential occlusion therapy can achieve both anatomical and functional improvement in a child suffering a penetrating injury with a MH and retinal folds. S. Karger AG 2011-02-23 /pmc/articles/PMC3072176/ /pubmed/21475605 http://dx.doi.org/10.1159/000324909 Text en Copyright © 2011 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published: February 2011 Chen, Yung-Jen Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds |
title | Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds |
title_full | Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds |
title_fullStr | Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds |
title_full_unstemmed | Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds |
title_short | Vitrectomy and Internal Limiting Membrane Peeling of a Traumatic Macular Hole with Retinal Folds |
title_sort | vitrectomy and internal limiting membrane peeling of a traumatic macular hole with retinal folds |
topic | Published: February 2011 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072176/ https://www.ncbi.nlm.nih.gov/pubmed/21475605 http://dx.doi.org/10.1159/000324909 |
work_keys_str_mv | AT chenyungjen vitrectomyandinternallimitingmembranepeelingofatraumaticmacularholewithretinalfolds |