J Korean Ophthalmol Soc.  2013 Jul;54(7):1135-1138. 10.3341/jkos.2013.54.7.1135.

Case of Macular Hole after Surgery in Macular Detachment with Optic Disc Pit in a Child

• Seo JW
• Nam DH
• Lee DY

• KMID: 2217429
• DOI: http://doi.org/10.3341/jkos.2013.54.7.1135

Abstract

PURPOSE
To report a case of macular hole after surgery in macular serous detachment associated with optic disc pit in a child, which was treated with silicone oil as an intraocular substitute.
CASE SUMMARY
A 12-year-old boy was referred for examination due to visual disturbance in his left eye for the last 1 week. Corrected visual acuity at presentation was 0.08 in the left eye. The anterior part of the left eye was normal on slit lamp examination. Funduscopic examination revealed optic disc pit associated with macular detachment. The patient was treated with vitrectomy, internal limiting membrane (ILM) peeling and gas tamponade. One week after treatment, the patient presented with central visual disturbance and showed a full thickness macular hole in the left eye. Extensive ILM peeling and silicone oil instillation were performed and after 2 months, silicone oil removal was performed. The macular hole appeared to be closed and visual acuity improved to 0.2. Recurrence was not observed until 20 months after treatment.
CONCLUSIONS
After surgical treatment due to macular detachment associated with optic disc pit in a child, occurrence of a macular hole is possible. Regarding macular hole treatment, silicone oil instillation and fast removal could be a beneficial option.

Keyword

Macular hole; Macular serous detachment; Optic pit disc of a child; Silicone oil tamponade

MeSH Terms

Child
Eye
Humans
Membranes
Recurrence
Retinal Perforations
Silicone Oils
Visual Acuity
Vitrectomy
Silicone Oils

Figure

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  Figure 1. The fundus photography shows a gray inferotemporal optic disc pit and serous macular detachment (A).Optical coher-ence tomography shows the intraretinal schisis, thin inner reti-na, and subretinal fluid in macular detachment (B).

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  Figure 2. Optical coherence tomography confirmed the full thickness macular hole.

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  Figure 3. After silicone oil instillation and removal procedures, fundus photograph showed no recurrence of serous macular detachment (A). Optical coherence tomography showed the flattening of the retinal layers. The macular hole appeared to be closed (B).

Reference

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