Surgery on Two Patients with Rhegmatogenous Retinal Detachment with Coexistent Macular Hole

Abstract

Macular holes may occur secondary to a rhegmatogeous retinal detachment (RRD) caused by peripheral retinal breaks. We describe two patients with macula-off RRD with coexistent full-thickness macular hole (FTMH). Patients underwent vitrectomy + scleral buckling with internal tamponade (gas in case 1, and silicone oil in case 2). No internal limiting membrane (ILM) peeling was erformed. Both cases had attached retina with closed macular holes postoperatively, and vision increased in both patients. Macular hole closure was achieved by vitrectomy without ILM peeling in our cases. MH closure resulted in improved visual outcome. (Turk J Ophthalmol 2013; 43: 374-6

Keywords

• Macular hole
• rhegmatogenous retinal detachment
• vitrectomy
• internal limiting membrane