Good visual outcome after repair of a very large macular hole with neurosensory retinal operculum

David M. Wu, Amani A. Fawzi, Marta A. Recasens, Bruno Bertoni, Vikas Chopra, Narsing A. Rao, Dean Eliott*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To describe a favorable outcome after the surgical repair of a very large macular hole with a neurosensory operculum. Methods: Case report. A 42-year-old man with a history of decreased vision for 3 months was found to have vision of 20/400, a very large macular hole (1159 mm in diameter), and an operculum suspended on the posterior hyaloid above the hole. Results: Vitrectomy and internal limiting membrane peel were performed. The operculum was processed for histology and found to contain neurons and glial cells. Fourteen months later, the patient's vision improved to 20/60. Conclusion: Very large macular holes have traditionally been considered to have a poor prognosis. Here, we demonstrate that such large holes can be repaired with good visual outcome, even in the setting of an operculum consisting of avulsed neural retina.

Original languageEnglish (US)
Pages (from-to)138-140
Number of pages3
JournalRetinal Cases and Brief Reports
Volume8
Issue number2
DOIs
StatePublished - 2014

Keywords

  • Macular hole
  • Operculum

ASJC Scopus subject areas

  • Ophthalmology

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