J Korean Ophthalmol Soc.  2015 Mar;56(3):463-465. 10.3341/jkos.2015.56.3.463.

A Case of Postpartum Macular Hole in a Young Woman

• Kim BS
• Kim BJ
• Han YS
• Park JM
• Chung IY

• KMID: 2339057
• DOI: http://doi.org/10.3341/jkos.2015.56.3.463

Abstract

PURPOSE
To describe a case of macular hole (MH) in a 29-year-old non-myopic woman after uncomplicated delivery.
CASE SUMMARY
A 29-year-old woman visited our clinic complaining of decreased visual acuity in her left eye after uncomplicated delivery. Fundoscopy and optical coherence tomography showed a full thickness macular hole in the left eye. However, we found not posterior vitreous detachment or vitreomacular traction in the posterior pole. The patient underwent pars plana vitrectomy, internal limiting membrane peeling, and SF6 gas tamponade. Three months after vitrectomy, the patient's visual acuity was improved and the macular hole was closed successfully.
CONCLUSIONS
We experienced and treated a case of postpartum MH developed in a young woman without posterior vitreous detachment or vitreomacular traction in the posterior pole. This suggests another mechanism of MH formation. Postpartum MH was successfully treated by existing idiopathic macular hole surgery.

Keyword

Postpartum macular hole; Vitrectomy

MeSH Terms

Adult
Female
Humans
Membranes
Postpartum Period*
Retinal Perforations*
Tomography, Optical Coherence
Traction
Visual Acuity
Vitrectomy
Vitreous Detachment

Figure

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  Figure 1. Preoperative fundus photography (A) and optical coherence tomography (B) of the left eye.

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  Figure 2. Fundus photography (A) and optical coherence tomography (B) 3 months after pars plana vitrectomy and posterior vitreous detachment formation, internal limiting membrane peeling, 20% SF6 gas tamponade shows closed macular hole.

Reference

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