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Macular hole closure at seven years after surgery
PURPOSE: To report a case of macular hole (MH) closure at seven years after internal limiting membrane (ILM) peeling. OBSERVATIONS: A 66-year-old woman developed a MH in her left eye. Pars plana vitrectomy with ILM peeling and SF6 gas injection followed by face-down position for a week slightly impr...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743201/ https://www.ncbi.nlm.nih.gov/pubmed/35036629 http://dx.doi.org/10.1016/j.ajoc.2021.101251 |
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author | Nishikawa, Keiichi Yamashiro, Kenji |
author_facet | Nishikawa, Keiichi Yamashiro, Kenji |
author_sort | Nishikawa, Keiichi |
collection | PubMed |
description | PURPOSE: To report a case of macular hole (MH) closure at seven years after internal limiting membrane (ILM) peeling. OBSERVATIONS: A 66-year-old woman developed a MH in her left eye. Pars plana vitrectomy with ILM peeling and SF6 gas injection followed by face-down position for a week slightly improved the visual acuity from 20/400 to 20/200 but did not close the MH. During subsequent three years of follow-up without any treatment, the MH did not close. Seven years after the surgery, she visited us for cataract surgery in her right eye, and the optical coherence tomography (OCT) examination coincidentally found closure of the MH in her left eye. The visual acuity of her left eye remained 20/200 despite the MH closure. CONCLUSIONS AND IMPORTANCE: ILM peeling might indirectly contribute to the closure of MH at seven years after the surgery although the mechanism is unclear. Sharing the serial OCT images until the MH closure would help us explore the mechanisms of ILM peeling to close MH and develop rational surgery technique manipulating ILM for MH. |
format | Online Article Text |
id | pubmed-8743201 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-87432012022-01-13 Macular hole closure at seven years after surgery Nishikawa, Keiichi Yamashiro, Kenji Am J Ophthalmol Case Rep Case Report PURPOSE: To report a case of macular hole (MH) closure at seven years after internal limiting membrane (ILM) peeling. OBSERVATIONS: A 66-year-old woman developed a MH in her left eye. Pars plana vitrectomy with ILM peeling and SF6 gas injection followed by face-down position for a week slightly improved the visual acuity from 20/400 to 20/200 but did not close the MH. During subsequent three years of follow-up without any treatment, the MH did not close. Seven years after the surgery, she visited us for cataract surgery in her right eye, and the optical coherence tomography (OCT) examination coincidentally found closure of the MH in her left eye. The visual acuity of her left eye remained 20/200 despite the MH closure. CONCLUSIONS AND IMPORTANCE: ILM peeling might indirectly contribute to the closure of MH at seven years after the surgery although the mechanism is unclear. Sharing the serial OCT images until the MH closure would help us explore the mechanisms of ILM peeling to close MH and develop rational surgery technique manipulating ILM for MH. Elsevier 2021-12-31 /pmc/articles/PMC8743201/ /pubmed/35036629 http://dx.doi.org/10.1016/j.ajoc.2021.101251 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Nishikawa, Keiichi Yamashiro, Kenji Macular hole closure at seven years after surgery |
title | Macular hole closure at seven years after surgery |
title_full | Macular hole closure at seven years after surgery |
title_fullStr | Macular hole closure at seven years after surgery |
title_full_unstemmed | Macular hole closure at seven years after surgery |
title_short | Macular hole closure at seven years after surgery |
title_sort | macular hole closure at seven years after surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743201/ https://www.ncbi.nlm.nih.gov/pubmed/35036629 http://dx.doi.org/10.1016/j.ajoc.2021.101251 |
work_keys_str_mv | AT nishikawakeiichi macularholeclosureatsevenyearsaftersurgery AT yamashirokenji macularholeclosureatsevenyearsaftersurgery |