Sustained Closure of Surgically Repaired Macular Holes After Retinal Detachment With Submacular Fluid

To examine the behavior of surgically repaired macular holes when subsequent retinal detachment with submacular fluid develops and to correlate these observations with current theories of macular hole formation and closure. We reviewed the medical records of four patients who underwent successful su...

Full description

Saved in:
Bibliographic Details
Published in:American journal of ophthalmology 1997-03, Vol.123 (3), p.364-369
Main Authors: HAINSWORTH, DEAN P., JOHNSON, MARK W., JAFFE, GLENN J.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Body Fluids
Cryosurgery
Female
Fluorescein Angiography
Fluorocarbons - administration & dosage
Fundus Oculi
Humans
Macula Lutea - pathology
Male
Medical sciences
Middle Aged
Ophthalmology
Posture
Retinal Detachment - etiology
Retinal Detachment - pathology
Retinal Detachment - surgery
Retinal Perforations - etiology
Retinal Perforations - physiopathology
Retinal Perforations - surgery
Retinopathies
Scleral Buckling
Sulfur Hexafluoride - administration & dosage
Visual Acuity
Vitrectomy
Wound Healing - physiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To examine the behavior of surgically repaired macular holes when subsequent retinal detachment with submacular fluid develops and to correlate these observations with current theories of macular hole formation and closure. We reviewed the medical records of four patients who underwent successful surgical closure of macular holes and subsequently developed rhegmatogenous retinal detachment with macular involvement. No reopening of the original macular hole occurred in any of the four patients. No focal macular attachment was seen that would suggest firm adherence of the macular hole edges to the underlying retinal pigment epithelium. When retinal detachment with submacular fluid develops in patients with a successfully closed macular hole, sustained closure of the macular dehiscence is typically seen. These findings support reapproximation of the hole edges with an associated retinal wound healing response as the mechanism of hole closure.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)70132-1