Macular Hole Formation in Rhegmatogenous Retinal Detachment after Scleral Buckling
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Purpose: To describe early macular hole (MH) development in rhegmatogenous retinal detachment (RRD) afterscleral buckling (SB) based on optical coherence tomography (OCT) findings. Methods: The medical records and spectral domain OCT images of patients in whom MH developed after RRDrepair were evaluated retrospectively. Results: A postoperative MH was detected in five eyes that underwent SB during a 6-year period. All had fovea-off RRD without MH at the time of surgery. OCT showed partial loss of the inner retina with a preservedphotoreceptor layer in early postoperative days. On average, 7 days (range,5 to 8 days) after surgery, outerretinal tissues disappeared, resulting in the full-thickness MH. Conclusions: Serial OCT findings revealed that partial-thickness lamellar holes progressed to full-thicknessMHs, which were formed by the degeneration of the outer retina in eyes with preceding loss of the glial conein the fovea.
Abstract
Purpose: To describe early macular hole (MH) development in rhegmatogenous retinal detachment (RRD) afterscleral buckling (SB) based on optical coherence tomography (OCT) findings. Methods: The medical records and spectral domain OCT images of patients in whom MH developed after RRDrepair were evaluated retrospectively. Results: A postoperative MH was detected in five eyes that underwent SB during a 6-year period. All had fovea-off RRD without MH at the time of surgery. OCT showed partial loss of the inner retina with a preservedphotoreceptor layer in early postoperative days. On average, 7 days (range,5 to 8 days) after surgery, outerretinal tissues disappeared, resulting in the full-thickness MH. Conclusions: Serial OCT findings revealed that partial-thickness lamellar holes progressed to full-thicknessMHs, which were formed by the degeneration of the outer retina in eyes with preceding loss of the glial conein the fovea.
참고문헌 (23)
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