Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography

We report the case of a 69-year-old patient who underwent vitrectomy for vitreomacular traction (VMT) and developed a postoperative macular hole that was observed 1 week after surgery. The hole did not close by in-office fluid-gas exchange alone, but was achieved after repeat surgery with internal l...

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Detalles Bibliográficos
Autores principales: Moisseiev, Elad, Yiu, Glenn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5043226/
https://www.ncbi.nlm.nih.gov/pubmed/27721786
http://dx.doi.org/10.1159/000446980
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author Moisseiev, Elad
Yiu, Glenn
author_facet Moisseiev, Elad
Yiu, Glenn
author_sort Moisseiev, Elad
collection PubMed
description We report the case of a 69-year-old patient who underwent vitrectomy for vitreomacular traction (VMT) and developed a postoperative macular hole that was observed 1 week after surgery. The hole did not close by in-office fluid-gas exchange alone, but was achieved after repeat surgery with internal limiting membrane (ILM) peeling. Intraoperative OCT (iOCT) images from the first surgery revealed an occult macular hole that formed after VMT release. We discuss how iOCT findings provide insight into the role of the ILM in macular hole formation and emphasize the importance of carefully inspecting iOCT images in real time to avoid missing small but important findings.
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spelling pubmed-50432262016-10-07 Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography Moisseiev, Elad Yiu, Glenn Case Rep Ophthalmol Case Report We report the case of a 69-year-old patient who underwent vitrectomy for vitreomacular traction (VMT) and developed a postoperative macular hole that was observed 1 week after surgery. The hole did not close by in-office fluid-gas exchange alone, but was achieved after repeat surgery with internal limiting membrane (ILM) peeling. Intraoperative OCT (iOCT) images from the first surgery revealed an occult macular hole that formed after VMT release. We discuss how iOCT findings provide insight into the role of the ILM in macular hole formation and emphasize the importance of carefully inspecting iOCT images in real time to avoid missing small but important findings. S. Karger AG 2016-07-21 /pmc/articles/PMC5043226/ /pubmed/27721786 http://dx.doi.org/10.1159/000446980 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Moisseiev, Elad
Yiu, Glenn
Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography
title Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography
title_full Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography
title_fullStr Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography
title_full_unstemmed Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography
title_short Role of Tractional Forces and Internal Limiting Membrane in Macular Hole Formation: Insights from Intraoperative Optical Coherence Tomography
title_sort role of tractional forces and internal limiting membrane in macular hole formation: insights from intraoperative optical coherence tomography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5043226/
https://www.ncbi.nlm.nih.gov/pubmed/27721786
http://dx.doi.org/10.1159/000446980
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AT yiuglenn roleoftractionalforcesandinternallimitingmembraneinmacularholeformationinsightsfromintraoperativeopticalcoherencetomography

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