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Recurrent macular hole retinal detachment in a patient with pathologic myopia treated by additional intravitreal silicone oil injection: A case report

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Author(s)
Kim, Do YeonKim, Yu Cheol
Keimyung Author(s)
Kim, Yu Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
Medicine (Baltimore)
Issued Date
2021
Volume
100
Issue
14
Keyword
macular hole retinal detachmentpathologic myopiasilicone oilstaphylomatamponade
Abstract
Rationale:
Treatment of macular hole retinal detachment (MHRD) in patients with pathologic myopia may require multiple surgeries due to the risk of surgical failures or recurrences. Intravitreal silicone oil injection before an additional surgery may be another option for recurrent MHRD in aphakic eyes, but this procedure is rarely performed.

Patient concerns:
A 69-year-old man visited the hospital with a chief complaint of metamorphopsia in his right eye for 5 days. The right eye had undergone a cataract extraction 5 years prior and an Nd:YAG laser capsulotomy 1 year prior. The axial length was 36.18 mm; the fundus examination and optical coherence tomography (OCT) revealed inferior retinal detachment with a macular hole involving the posterior pole. Pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling, endolaser photocoagulation, and silicone oil tamponade were performed. Five months after the surgery, the retina was detached, and a macular hole was observed.

Diagnosis:
Recurrent MHRD in a patient with pathologic myopia.

Intervention:
PPV with ILM peeling, endolaser photocoagulation, and silicone oil tamponade at the initial visit and additional intravitreal silicone oil injection (0.5 ml) at follow-up visits.

Outcomes:
The retina was well-attached until 5 months after the additional intravitreal silicone oil injection.

Lessons:
Additional intravitreal silicone oil injection can be a good option for treating MHRD in aphakic eyes if the detachment of the retina is dependent on posturing. The surgeon should consider the volume of silicone oil or postoperative posturing in the treatment of MHRD.
Keimyung Author(s)(Kor)
김유철
Publisher
School of Medicine (의과대학)
Citation
Kim, Do Yeon and Kim, Yu Cheol. (2021). Recurrent macular hole retinal detachment in a patient with pathologic myopia treated by additional intravitreal silicone oil injection: A case report. Medicine (Baltimore), 100(14), e25465. doi: 10.1097/MD.0000000000025465
Type
Article
ISSN
1536-5964
Source
https://journals.lww.com/md-journal/Fulltext/2021/04090/Recurrent_macular_hole_retinal_detachment_in_a.102.aspx
DOI
10.1097/MD.0000000000025465
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43752
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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