Outer Retinal Changes Preceding Secondary Macular Hole Formation Years After Vitreomacular Traction Release Demonstrated on Spectral-Domain OCT.

Abstract

This report describes changes documented on spectral-domain optical coherence tomography (SD-OCT) in the right eye of a 58-year-old woman who eventually developed a secondary full-thickness macular hole (FTMH). She had a history of vitreomacular traction (VMT) that had resolved spontaneously with a complete posterior vitreous detachment. Despite VMT resolution, a hyperreflective band from the internal to the external limiting membrane and evidence of photoreceptor disruption persisted on SD-OCT for 2 years, at which point an FTMH developed. Despite VMT release, the unexpected FTMH coupled with the preceding outer retinal changes suggest persistent secondary damage to Müller cells as a potential factor.

• Authors: Adam T Chin, Marco A Bonini Filho, Talisa E de Carlo, Mehreen Adhi, Jay S Duker
• Journal: Ophthalmic surgery, lasers & imaging retina (Ophthalmic Surg Lasers Imaging Retina) Vol. 46 Issue 8 Pg. 880-2 (Sep 2015) ISSN: 2325-8179 [Electronic] United States
• PMID: 26431305 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright 2015, SLACK Incorporated.

Topics

• Female
• Humans
• Middle Aged
• Postoperative Complications
• Remission, Spontaneous
• Retina (pathology)
• Retinal Diseases (physiopathology)
• Retinal Perforations (diagnosis, etiology, surgery)
• Tissue Adhesions (physiopathology)
• Tomography, Optical Coherence
• Visual Acuity (physiology)
• Vitreous Body (physiopathology)
• Vitreous Detachment (physiopathology)