Management of macular hole that develop after retinal detachment repair

Purpoe To tudy the characteritic and management of macular hole that develop after prior rhegmatogenou retinal detachment (RD) repair. Deign Retropective, interventional, conecutive cae erie. Method The etting wa a clinical practice. The cae record of all of our patient (n = 12) who developed a new full-thickne macular hole after prior RD repair over an 8-year period were examined. Patient who developed a macular hole after prior RD repair were offered either urgical repair of the macular hole or continued obervation. For eye that underwent macular hole repair, main outcome meaure included macular attachment tatu and potoperative viual acuity. Reult Twelve full-thickne macular hole were detected in a erie of 2,380 eye (0.5% prevalence), which had undergone urgery for prior primary RD. Ten macular hole developed after cleral buckling urgery, two after pneumatic retinopexy, and none were een after primary vitrectomy. The fovea had been detached in 11 of the 12 eye at the time of RD. The median time to macular hole diagnoi after RD repair wa 3.4 month (range, 0.3–161 month). Eight of the eight eye (100%) undergoing urgical repair achieved macular reattachment with a median of 3.5 line of viual improvement at a median of 14.8 month of follow-up. even of thee eight eye had an improvement in viual acuity of at leat 3 nellen line, and four of the eight had at leat 20/40 viual acuity potoperatively. Four eye with macular hole were oberved. Concluion Macular hole developed in le than 1% of eye that had previouly undergone repair of rhegmatogenou RD. In our erie, thee atypical hole were een predominantly after macula-off detachment, mot commonly occurring after cleral buckling procedure. They were effectively repaired uing conventional par plana vitrectomy with long-acting ga tamponade and a variety of adjuvant therapie. A good viual outcome i poible with thi approach.