Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report

We present a case of persistent macular hole (MH) having an apical diameter of 140 microns and a basal diameter of 530 microns following a combined phacoemulsification and MH surgery. Considering post-operative cystoid macular edema (CME) as the possible reason for the failure of the initial surgery...

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Detalles Bibliográficos
Autores principales: Sen, Alok C, Kohli, Gaurav M, Mitra, Ashish, Talwar, Dinesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508139/
https://www.ncbi.nlm.nih.gov/pubmed/32461478
http://dx.doi.org/10.4103/ijo.IJO_1511_19
Descripción
Sumario:We present a case of persistent macular hole (MH) having an apical diameter of 140 microns and a basal diameter of 530 microns following a combined phacoemulsification and MH surgery. Considering post-operative cystoid macular edema (CME) as the possible reason for the failure of the initial surgery, a trial of IVTA was given. The synergistic effect of mechanical plugging of the hole by TA, coupled with resolution of cystoid changes and falling back of the macular hole resulted in the successful closure of the persistent macular hole with improvement in vision from 20/250 to 20/63.

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