Case Reports in Ophthalmology (Jun 2019)

A Case of Giant Macular Hole Progression after Rupture of a Giant Retinal Pigment Epithelial Detachment

  • Kosuke Nagaoka,
  • Satoru Inoda,
  • Hidenori Takahashi,
  • Yusuke Arai,
  • Yuji Inoue,
  • Yuichi Takizawa,
  • Shinkin Fujioka,
  • Hidetoshi Kawashima

DOI
https://doi.org/10.1159/000500803
Journal volume & issue
Vol. 10, no. 2
pp. 195 – 199

Abstract

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We report a case of giant macular hole progression after rupture of giant retinal pigment epithelial detachment (PED). The patient was a 91-year-old man who had a giant PED in the left eye. He had bilateral hypermetropia (+2.00 dpt), and he had developed posterior vitreous detachment. The PED was 5,800 μm in diameter and 800 μm in height and ruptured during follow-up. A macular hole was formed, with a diameter of 400 μm, and the height of the PED had reduced to 360 μm. After 5 months, the macular hole expanded up to a diameter of 600 μm. Therefore, some cases of giant PED may lead to macular hole.

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