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Horseshoe-like macular tear following recurrent branch retinal vein occlusion

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Abstract

Background

A macular hole can develop as a late complication secondary to a branch retinal vein occlusion (BRVO). We report about an atypical horseshoe-like tear occurring in the fovea after recurrent BRVO.

Methods

An interventional case report.

Results

In 1997, a 53-year-old man was seen with an occlusion of macular part of inferior temporal vein of the retina on the left eye. After experiencing several recurrent BRVO in this eye, 6 years later he presented with a horseshoe-like tear in the fovea. Visual acuity was 20/200. The patient underwent standard three-port vitrectomy and installation of C3F8 16%. Intraoperatively, massive traction of the vitreous was detected on the edges of the tear. Six months after the operation, the tear remained attached. The visual acuity was 20/200.

Conclusions

The uniqueness of the presented case is the occurrence of a macular tear following recurrent BRVO, its horseshoe-like shape and foveal location. To the best of our knowledge, this is the first report on a horseshoe-like tear seen in the fovea secondary to BRVO. We assume that chronic macular edema and retinal ischemia following BRVO were additional factors beside the vitreous traction, contributing to the formation of the macular tear. Anatomical closure of the tear and stabilisation of visual acuity can be achieved by vitreoretinal surgery.

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Authors and Affiliations

  1. Center for Ophthalmology, University of Tuebingen, Schleichstr. 12, 72076, Tuebingen, Germany

    Khakima Karim-Zade, Alper Bilgic, Karl U. Bartz-Schmidt & Faik Gelisken

Authors
  1. Khakima Karim-Zade
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  2. Alper Bilgic
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  3. Karl U. Bartz-Schmidt
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  4. Faik Gelisken
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Corresponding author

Correspondence to Faik Gelisken.

Additional information

There is no financial interest to declare. No grant has been received in relation to this case.

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Karim-Zade, K., Bilgic, A., Bartz-Schmidt, K.U. et al. Horseshoe-like macular tear following recurrent branch retinal vein occlusion. Graefes Arch Clin Exp Ophthalmol 245, 1221–1223 (2007). https://doi.org/10.1007/s00417-006-0508-y

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  • DOI: https://doi.org/10.1007/s00417-006-0508-y

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