Posters

Delayed spontaneous macular hole closure after primary surgical failure

Poster Details

First Author: R.Walker UK

Co Author(s):    L. Papavasileiou   V. Petousis   R. Zakir   G. Duguid                    

Abstract Details



Purpose:

To demonstrate the delayed spontaneous closure of a macular hole after initial surgery failed to create anatomical closure. Review of the case demonstrated an inadvertant ILM flap.

Setting:

Surgical intervention at a dedicated eye hospital forming part of a large NHS hospital trust

Methods:

Standard surgical intervention including 23 gauge pars plana vitrectomy, ILM peel and gas tamponade for macular hole.

Results:

The initial surgery failed to lead to anatomical closure of the macular hole at 8 weeks follow up with no gas tamponade left in the eye. The patient declined further surgery, but clinic review 6 months later demonstrated anatomical closure.

Conclusions:

It is postulated that an inadvertent ILM flap was left which provided a scaffold for anatomical closure. This raises the question of whether we should leave unclosed macular holes with ILM flap for a period prior to repeat surgical intervention.

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