This article is more than 5 years old. Information may no longer be current.
Concomitant retinal detachment, macular holes can be repaired simultaneously
Cases of combined full-thickness macular holes with concurrent rhegmatogenous retinal detachment are rare, but the conditions can be repaired simultaneously with good anatomic and visual results, according to a study.
In addition, proliferative vitreoretinopathy (PVR) may play a role in these combined cases, the study authors said.
The retrospective case series included 607 cases of rhegmatogenous retinal detachment (RRD). Patients underwent vitrectomy to repair RRD and close macular holes simultaneously.
Investigators evaluated the presence of PVR, rates of hole closure and reattachment, and logMAR visual acuity.
Concomitant RRD and macular holes were identified in 14 patients (2.3%); eight patients were phakic and six were pseudophakic.
Mean visual acuity improved significantly, from 2.59 preoperatively to 1.23 (P = .00124). Visual acuity improved in 88.8% of patients at final follow-up; visual acuity was 20/125 or better in 66.7% of cases.
PVR was identified in 96 cases (15.8%). The rate of macular holes was 7.3% among RRD cases with PVR and 1.4% among RRD cases without PVR (P = .0027), the authors said.