Early imaging of a macular hole following vitrectomy with primary silicone oil tamponade

Abstract

Niladri Saha, Stewart Lake, Bob Z WangDepartment of Ophthalmology, Flinders Medical Centre and Flinders University, Bedford Park, South Australia, AustraliaBackground: To describe the morphology of a macular hole in the early postoperative period following vitrectomy with primary silicone oil tamponade.Methods: A case report with optical coherence tomography (OCT) scans prior to surgery, at 20 minutes postoperatively and then at 17 hours postoperatively.Results: OCT images of a 73-year-old woman with a stage 3 macular hole were obtained. At 20 minutes postoperatively, there was a reduction in intraretinal cysts and a reduction in macular hole size with elevated-open configuration. At 17 hours postoperatively, complete macular hole closure was noted.Conclusion: OCT Images of a macular hole in the early postoperative period have been successfully obtained. Macular holes can close within 24 hours postoperatively and show morphological changes that may be predictive of closure within 20 minutes postoperatively.Keywords: early imaging, macular hole, vitrectomy