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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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
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author Sen, Alok C
Kohli, Gaurav M
Mitra, Ashish
Talwar, Dinesh
author_facet Sen, Alok C
Kohli, Gaurav M
Mitra, Ashish
Talwar, Dinesh
author_sort Sen, Alok C
collection PubMed
description 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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spelling pubmed-75081392020-10-02 Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report Sen, Alok C Kohli, Gaurav M Mitra, Ashish Talwar, Dinesh Indian J Ophthalmol Case Reports 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. Wolters Kluwer - Medknow 2020-06 2020-05-25 /pmc/articles/PMC7508139/ /pubmed/32461478 http://dx.doi.org/10.4103/ijo.IJO_1511_19 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Reports
Sen, Alok C
Kohli, Gaurav M
Mitra, Ashish
Talwar, Dinesh
Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report
title Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report
title_full Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report
title_fullStr Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report
title_full_unstemmed Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report
title_short Successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: A case report
title_sort successful management of persistent macular hole after macular hole surgery with intravitreal triamcinolone acetonide: a case report
topic Case Reports
url 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
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