The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment
Background: Macular hole (MH) formation after rhegmatogenous retinal detachment (RRD) surgery is rare, and in most cases, additional surgical procedures are required to repair MH. Spontaneous closure of the MH is even rarer. In this study, we aimed to report a series of cases of spontaneous closure...
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Elsevier
2024-12-01
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| Series: | Photodiagnosis and Photodynamic Therapy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1572100024003946 |
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| author | Bing Xu Yiyan Wang Yang Cheng Qiong Huang |
| author_facet | Bing Xu Yiyan Wang Yang Cheng Qiong Huang |
| author_sort | Bing Xu |
| collection | DOAJ |
| description | Background: Macular hole (MH) formation after rhegmatogenous retinal detachment (RRD) surgery is rare, and in most cases, additional surgical procedures are required to repair MH. Spontaneous closure of the MH is even rarer. In this study, we aimed to report a series of cases of spontaneous closure of the secondary MH and provide a review of the literature. Methods: We retrospectively collected the cases of secondary MH formation following vitrectomy in RRD patients followed by spontaneous closure. Ophthalmological data at presentation and during follow-up were collected and analyzed. Results: We reported a total of three RRD patients aged 31,67,12 years, including two females and one male. The three patients underwent pars plana vitrectomy (PPV) with either silicone oil tamponade or air tamponade. Optical coherence tomography (OCT) revealed a second full-thickness MH formation with remnant vitreous cortex bridging in the macular region during early follow-up. Observations of the cases revealed subsequent remnant vitreous cortex traction remission and spontaneous closure of MH during follow-up, although with subsequent thin macular and abnormal macular structure. Conclusion: The progression of secondary MH formation in the cases may be related to vitreomacular traction (VMT) by the posterior vitreous cortex remnant after PPV, and the release of VMT may help the spontaneous closure of the MH after PPV for RRD. |
| format | Article |
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| institution | Kabale University |
| issn | 1572-1000 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
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| series | Photodiagnosis and Photodynamic Therapy |
| spelling | doaj-art-6683f3a2d6e8437eb3d5f0c3e9a033112024-12-13T10:56:05ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002024-12-0150104357The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachmentBing Xu0Yiyan Wang1Yang Cheng2Qiong Huang3Department of Ophthalmology, Union Hospital, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Ophthalmology, Union Hospital, Huazhong University of Science and Technology, Wuhan 430022, ChinaCorresponding authors at: Department of Ophthalmology, Union Hospital, Huazhong University of Science and Technology, 1277 Jiefang Ave, Jianghan District, Wuhan 430022, China.; Department of Ophthalmology, Union Hospital, Huazhong University of Science and Technology, Wuhan 430022, ChinaCorresponding authors at: Department of Ophthalmology, Union Hospital, Huazhong University of Science and Technology, 1277 Jiefang Ave, Jianghan District, Wuhan 430022, China.; Department of Ophthalmology, Union Hospital, Huazhong University of Science and Technology, Wuhan 430022, ChinaBackground: Macular hole (MH) formation after rhegmatogenous retinal detachment (RRD) surgery is rare, and in most cases, additional surgical procedures are required to repair MH. Spontaneous closure of the MH is even rarer. In this study, we aimed to report a series of cases of spontaneous closure of the secondary MH and provide a review of the literature. Methods: We retrospectively collected the cases of secondary MH formation following vitrectomy in RRD patients followed by spontaneous closure. Ophthalmological data at presentation and during follow-up were collected and analyzed. Results: We reported a total of three RRD patients aged 31,67,12 years, including two females and one male. The three patients underwent pars plana vitrectomy (PPV) with either silicone oil tamponade or air tamponade. Optical coherence tomography (OCT) revealed a second full-thickness MH formation with remnant vitreous cortex bridging in the macular region during early follow-up. Observations of the cases revealed subsequent remnant vitreous cortex traction remission and spontaneous closure of MH during follow-up, although with subsequent thin macular and abnormal macular structure. Conclusion: The progression of secondary MH formation in the cases may be related to vitreomacular traction (VMT) by the posterior vitreous cortex remnant after PPV, and the release of VMT may help the spontaneous closure of the MH after PPV for RRD.http://www.sciencedirect.com/science/article/pii/S1572100024003946ClosureMacular holePars plana vitrectomyRhegmatogenous retinal detachmentVitreous cortex remnantOCT |
| spellingShingle | Bing Xu Yiyan Wang Yang Cheng Qiong Huang The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment Photodiagnosis and Photodynamic Therapy Closure Macular hole Pars plana vitrectomy Rhegmatogenous retinal detachment Vitreous cortex remnant OCT |
| title | The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment |
| title_full | The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment |
| title_fullStr | The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment |
| title_full_unstemmed | The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment |
| title_short | The role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment |
| title_sort | role of vitreous cortex remnants in secondary macular hole formation and spontaneous closure following vitrectomy for rhegmatogenous retinal detachment |
| topic | Closure Macular hole Pars plana vitrectomy Rhegmatogenous retinal detachment Vitreous cortex remnant OCT |
| url | http://www.sciencedirect.com/science/article/pii/S1572100024003946 |
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