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Successful surgical treatment of traumatic macular hole with total rhegmatogenous retinal detachment in a child
Affiliations- Medical Center Julianow, Lodz, Poland
- Dr K Jonscher Municipal Medical Centre, Lodz, Poland
open access
Abstract
Background: The purpose of this case report was to investigate the surgical results and morphologic characteristics of a pediatric traumatic macular hole with total rhegmatogenous retinal detachment.
Case presentation: The 4-year-old male patient underwent scleral buckling surgery combined with vitrectomy with the inverted internal limiting membrane (ILM) flap technique and silicone oil tamponade for five months. Complete ophthalmic examination was performed preoperatively and 7 days, 1, 3, 6, 9, and 12 months after surgery. Successful retinal reattachment was achieved, and the macular hole was successfully closed. Visual acuity improved from hand motion at the initial visit to 20/80 (0.6 LogMAR) postoperatively.
Conclusions: Scleral buckling surgery and vitrectomy with the inverted ILM flap technique appeared to give effective
anatomical and functional results in the pediatric post-traumatic case with macular hole and retinal detachment.
Abstract
Background: The purpose of this case report was to investigate the surgical results and morphologic characteristics of a pediatric traumatic macular hole with total rhegmatogenous retinal detachment.
Case presentation: The 4-year-old male patient underwent scleral buckling surgery combined with vitrectomy with the inverted internal limiting membrane (ILM) flap technique and silicone oil tamponade for five months. Complete ophthalmic examination was performed preoperatively and 7 days, 1, 3, 6, 9, and 12 months after surgery. Successful retinal reattachment was achieved, and the macular hole was successfully closed. Visual acuity improved from hand motion at the initial visit to 20/80 (0.6 LogMAR) postoperatively.
Conclusions: Scleral buckling surgery and vitrectomy with the inverted ILM flap technique appeared to give effective
anatomical and functional results in the pediatric post-traumatic case with macular hole and retinal detachment.
Keywords
blunt ocular trauma; macular hole; retinal detachment
About this articleTitle
Successful surgical treatment of traumatic macular hole with total rhegmatogenous retinal detachment in a child
Journal
Issue
Vol 7 (2022): Continuous Publishing
Article type
Case report
Pages
61-64
Published online
2022-05-20
Page views
4694
Article views/downloads
501
DOI
Bibliographic record
Ophthalmol J 2022;7:61-64.
Keywords
blunt ocular trauma
macular hole
retinal detachment
Authors
Sławomir Cisiecki
Karolina Bonińska
Maciej Bednarski
References (17)- Siam A. Macular hole with central retinal detachment in high myopia with posterior staphyloma. Br J Ophthalmol. 1969; 53(1): 62–63.
- Stirpe M, Michels RG. Retinal detachment in highly myopic eyes due to macular holes and epiretinal traction. Retina. 1990; 10(2): 113–114.
- Ohsugi H, Ikuno Y, Matsuba S, et al. MORPHOLOGIC CHARACTERISTICS OF MACULAR HOLE AND MACULAR HOLE RETINAL DETACHMENT ASSOCIATED WITH EXTREME MYOPIA. Retina. 2019; 39(7): 1312–1318.
- Lim LS, Tsai A, Wong D, et al. Prognostic factor analysis of vitrectomy for retinal detachment associated with myopic macular holes. Ophthalmology. 2014; 121(1): 305–310.
- Wu AL, Ling KP, Chuang LH, et al. Treatment of macular hole retinal detachment with macular plug in highly myopic eyes: three-year results. Acta Ophthalmol. 2020; 98(7): e839–e847.
- Morita H, Ideta H, Ito K, et al. Causative factors of retinal detachment in macular holes. Retina. 1991; 11(3): 281–284.
- Oie Y, Emi K, Takaoka G, et al. Effect of indocyanine green staining in peeling of internal limiting membrane for retinal detachment resulting from macular hole in myopic eyes. Ophthalmology. 2007; 114(2): 303–306.
- Ripandelli G, Coppé AM, Fedeli R, et al. Evaluation of primary surgical procedures for retinal detachment with macular hole in highly myopic eyes: a comparison [corrected] of vitrectomy versus posterior episcleral buckling surgery. Ophthalmology. 2001; 108(12): 2258–64; discussion 2265.
- Lim LS, Tsai A, Wong D, et al. Prognostic factor analysis of vitrectomy for retinal detachment associated with myopic macular holes. Ophthalmology. 2014; 121(1): 305–310.
- Seike C, Kusaka S, Sakagami K, et al. Reopening of macular holes in highly myopic eyes with retinal detachments. Retina. 1997; 17(1): 2–6.
- Petermeier K, Szurman P, Bartz-Schmidt U, et al. Pathophysiologie der Katarakt-Entwicklung nach Vitrektomie. Klin Monbl Augenheilkd. 2010; 227(03): 175–180.
- Michalewska Z, Michalewski J, Adelman RA, et al. Inverted internal limiting membrane flap technique for large macular holes. Ophthalmology. 2010; 117(10): 2018–2025.
- Chang JS, Marra K, Flynn HW, et al. Scleral Buckling in the Treatment of Retinal Detachment Due to Retinal Dialysis. Ophthalmic Surg Lasers Imaging Retina. 2016; 47(4): 336–340.
- Yamashita T, Uemara A, Uchino E, et al. Spontaneous closure of traumatic macular hole. Am J Ophthalmol. 2002; 133(2): 230–235.
- Mitamura Y, Saito W, Ishida M, et al. Spontaneous closure of traumatic macular hole. Retina. 2001; 21(4): 385–389.
- Sartori Jd, Stefanini F, Moraes NS. Spontaneous closure of pediatric traumatic macular hole: case report and spectral-domain OCT follow-up. Arq Bras Oftalmol. 2012; 75(4): 286–288.
- Ghoraba HH, Mansour HO, Abdelhafez MA, et al. Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment. Clin Ophthalmol. 2020; 14: 3271–3277.