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Postoperative eccentric macular holes after surgery for vitreomacular interface diseases

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Abstract

Purpose

To assess the incidence, clinical characteristics, and outcome of postoperative eccentric macular hole (ECMH) after epiretinal membrane (ERM), macular hole (MH), and idiopathic vitreomacular traction (VMT) surgery and discuss the underlying possible mechanisms.

Methods

A retrospective study was carried out for 711 eyes of 711 consecutive patients who underwent 25-gauge pars plana vitrectomy (PPV) with ERM (396 eyes), MH (268 eyes), and VMT (47 eyes) surgery between 2010 and 2016. Mean follow-up time was 19 months.

Results

Eight patients developed ECMH (1.12%). Four of the patients were ERM, three patients were idiopathic full thickness MH, and one patient was ERM and lamellar pseudohole. There was no ECMH in patients with VMT. The average time of hole formation after vitrectomy was 7.25 weeks with a range from 2 to 15 weeks. Three patients developed 2 ECMH, and others had 1 ECMH. The location of the ECMH was mostly in the temporal of fovea. All patients were asymptomatic. No retinal detachment or choroidal neovascularization occurred in any patient and no additional intervention was attempted in the postoperative period in any case.

Conclusion

Postoperative ECMH may be seen after vitreomacular interface surgery. They are mostly asymptomatic, usually do not require additional intervention and often located in the parafoveal area. ILM peeling-induced muller cell damage, residual ILM contraction, and iatrogenic trauma may play a role as the underlying cause in our case series.

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Funding

The authors have indicated they have no financial relationships with any company and no external funding. All authors attest that they meet the current ICMJE requirements to qualify as authors.

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Authors and Affiliations

  1. Ankara Ulucanlar Eye Education and Research Hospital, University of Health Sciences, Ulucanlar Cd. No: 59, 06230, Altindag, Ankara, Turkey

    Esat Yetkin, Mehmet Citirik, Mehmet Yasin Teke & Hasan Kiziltoprak

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  1. Esat Yetkin
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  2. Mehmet Citirik
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  3. Mehmet Yasin Teke
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  4. Hasan Kiziltoprak
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Correspondence to Esat Yetkin.

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Yetkin, E., Citirik, M., Teke, M.Y. et al. Postoperative eccentric macular holes after surgery for vitreomacular interface diseases. Int Ophthalmol 40, 591–596 (2020). https://doi.org/10.1007/s10792-019-01217-2

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  • DOI: https://doi.org/10.1007/s10792-019-01217-2

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