To report on a patient who developed a lamellar
macular hole 1 month after an intravitreal
pegaptanib sodium injection. Interventional case report. A 66 year old patient developed a lamellar
macular hole 1 month after an intravitreal
pegaptanib sodium injection for diabetic
macular edema (DME). The pathogenesis of the lamellar
macular hole in our case can be attributed to the
intravitreal injection that may have induced vitreous incarceration, causing vitreoretinal
traction at the macula and development of a lamellar
macular hole. Alternatively or in association,
pegaptanib itself may have caused the lamellar
macular hole by inducing sudden reduction of the DME and exacerbation of tangential
traction of the posterior vitreous on the overlying macular retina. Lamellar
macular hole seems to be a potential complication of
pegaptanib injection even in patients without pretreatment clinically detectable vitreomacular
traction.