유리체절제술을 받은 눈에서 발생한 황반원공의 자연폐쇄 1예

• 영문명: A Case of Spontaneous Closure of Macular Hole in a Previously Vitrectomized Eye
• 발행기관: 대한안과학회
• 저자명: 이승희 이근우 윤숙현 김윤영,Seung Hee Lee, MD, Geun Woo Lee, MD, Sook Hyun Yoon, MD, Yoon Young Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number10, 1626~1629쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.10.15

영문 초록

Purpose: To report a case of spontaneous closure of a macular hole in a previously vitrectomized eye. Case summary: A 71-year-old female had undergone vitrectomy on the left eye due to a secondary epiretinal membrane with vitreous opacity caused by vasculitis. After the procedure, while the patient was still on medication for the recurrent inflammation of the anterior and posterior segment of the vitreous, a macular hole was found after fundus examinations. Visual acuity of her left eye was 0.125 and ocular coherence tomography (OCT) confirmed a full thickness macular hole with a perifoveal cyst. We recommended vitrectomy, internal limiting membrane peeling, and intravitreal gas injection, but the patient refused further intervention due to her poor general condition. After 2 weeks, resolution of the perifoveal cyst with the macular hole was observed. After 13 weeks, OCT revealed the complete closure of the macular hole with normal foveal depression and the patient regained 0.4 visual acuity. Conclusions: Spontaneous closure of macular hole is a rare phenomenon in vitrectomized eyes, but a small macular hole with inflammation may close spontaneously without additional intervention. Therefore, observation should be considered rather than hasty surgical intervention. Apparently, the spontaneous closure of a macular hole is due to degenerative processes such as development of macular edema and natural recovery.

키워드

Macular hole, Spontaneous closure, Vitrectomy