Retinal Detachment After Macular Hole Surgery: Case Series


SCIENTIFIC POSTER

Retinal Detachment After Macular Hole Surgery Case Series by Malgorzata Pietras-Trzpiel, Robert Rejdak, Poland


ABSTRACT

Retinal detachment remains the most serious complication after macular hole surgery and it occurs approximately in 0,5-6,6% of cases. We tried to answer what may be the reason of retinal detachment after macular hole surgery

Material & Methods:

We performed 112 macular hole surgeries starting with 2011 to 2016. In all the cases we performed minimal vitrectomy, PVD , and ILM peeling using flap inverted technique in 72 cases with 4 stage MH. In 40 cases with 3 stage MH standard ILM peeling was done. In all the cases 20% SF6 was administered.

Results:

Among of them, 4 cases of retinal detachment (3,5%) occurred as an early complication (2 weeks after MHS). In 3 cases we diagnosed macular hole closure. In one the flap was in opposite side and the hole remains open. The retinal detachment in all 4 cases started from the inferior part of the retina. There are 2-3 holes in equatorial region in the inferior – temporal side in all cases, None of the patients suffered lattice dystrophy or other kind of degeneration supposedly responsible for causing retinal detachment.

Discussion:

The possible reason of retinal detachment was enlargement of PVD due to gas movement , and its traction on the vitreous base, strong attachment of the vitreous body on the vitreous base and too small vitrectomy in all of these cases.

Conclusion:

We recommend to perform core or subtotal vitrectomy in case of macular hole.


CONTACT DETAILS

 

Malgorzata Pietras-Trzpiel
Lublin, Poland
Email : m.pietrastrzpiel@yahoo.com
Cell Phone: +48695732574
Work Phone: +48814737178