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Characteristics and management of macular hole developing after rhegmatogenous retinal detachment repair

  • Clinical Investigation
  • Published:
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Abstract

Purpose

To report characteristics of patients developing full-thickness macular hole (MH) after rhegmatogenous retinal detachment (RRD) repair surgery. We also compared patients developing MH with and without accompanying RRD recurrence regarding anatomical and visual outcomes of MH repair.

Design

Retrospective study.

Methods

Medical records of patients who developed MH after RRD repair between January 2002 and January 2018 were reviewed.

Results

We performed 1661 primary RRD operations during the study period and 14 of these developed MH, an incidence of 0.8%. Nine patients had their primary RRD repair surgery in another clinic and were referred to our clinic after development of MH. In total 23 patients with MH secondary to RRD repair were included in the study. The type of RRD repair surgery was scleral buckling only in 4 patients (17%), pars plana vitrectomy (PPV) only in 14 patients (61%), and sequential scleral buckling and PPV in 5 patients (22%). Nineteen patients (83%) had macula-off RRD. In 12 patients (52%), MH developed within 3 months after RRD repair. Surgery for MH repair was performed in 18 patients. Postoperative best corrected visual acuity (BCVA) was better than preoperative BCVA in the group with RRD recurrence as well as in the group without RRD recurrence (both P < 0.05). There wasn’t a significant difference between these groups regarding postoperative visual gain and anatomical success (P > 0.05).

Conclusion

MH can develop after various surgical methods of RRD repair. Anatomic closure and visual acuity gain can be achieved even if patients have accompanying RRD recurrence.

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Authors and Affiliations

  1. Department of Ophthalmology, Biruni University Medical School, İstanbul, Turkey

    Mehmet Giray Ersoz

  2. Istanbul Retina Institute, Hakkı Yeten Cad. Unimed Center No: 19/7 Fulya, Şişli, 34349, İstanbul, Turkey

    Mumin Hocaoglu, Isil Sayman Muslubas, Serra Arf & Murat Karacorlu

Authors
  1. Mehmet Giray Ersoz
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  2. Mumin Hocaoglu
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  3. Isil Sayman Muslubas
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  4. Serra Arf
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  5. Murat Karacorlu
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Corresponding author

Correspondence to Murat Karacorlu.

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Conflicts of interest

M.G. Ersoz, None; M. Hocaoglu, None; I. Sayman Muslubas, None; S. Arf, None; M. Karacorlu, None.

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Corresponding Author: Murat Karacorlu

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Ersoz, M.G., Hocaoglu, M., Sayman Muslubas, I. et al. Characteristics and management of macular hole developing after rhegmatogenous retinal detachment repair. Jpn J Ophthalmol 65, 497–505 (2021). https://doi.org/10.1007/s10384-021-00833-9

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  • DOI: https://doi.org/10.1007/s10384-021-00833-9

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