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Serous Retinal and Choroidal Detachment After Macular Hole Surgery
Arch Ophthalmol. 2001;119:1379-1380.
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One of the most serious complications of macular hole surgery is retinal
detachment, which is usually treated promptly with a second surgery. Recently,
4 cases of spontaneous resolution of retinal detachment following macular
hole surgery were reported. The authors proposed several possible mechanisms
for postsurgical retinal detachment in the absence of a clinically detectable
retinal break. We present the first report, to our knowledge, of a patient
with concurrent peripheral annular choroidal and inferior bullous retinal
detachment noticed 1 week after macular hole surgery. After observation for
7 weeks, both resolved spontaneously. This case provides evidence that the
cause of retinal detachment after macular hole surgery may be exudative.
Macular holes in stage 2, 3, or 4 are now widely managed with pars plana
vitrectomy, posterior hyaloid peeling, and intravitreal perfluorocarbon gas
tamponade.1 Complications of macular hole
surgery include cataract, retinal pigment epithelial changes, visual field
loss, endophthalmitis, choroidal neovascularization, . . . [Full Text of this Article] Report of a Case
Comment
Corresponding author: Dean Eliott, MD, Kresge Eye Institute, 4717
St Antoine, Detroit, MI 48201.
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