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Surgeons: Deepam Rusia, M.D., Mitul Mehta, M.D.
Video: Jeffrey Yu
Gavin Herbert Eye Institute, University of California Irvine
Macular hole is a tear in the macula, located in the center of the retina. The most common cause of macular hole is shrinking of the vitreous and subsequent pulling on the retina. Treatment involves vitrectomy, peeling of the internal limiting membrane, and infusion of gas into the eye. This patient is a 51-year-old female with a macular hole of the right eye.
Pars plana vitrectomy, membrane peel, endolaser, air/fluid exchange, C3F8 injection in right eye
Macular hole
None
Right eye dilation with 1% Cyclogyl, 2.5% Neo-Synephrine, and 0.03% Ocufen. General anesthesia induction.
Ophthalmologic evaluation, OCT
Eye, vitreous, retina, macula.
Improved vision
Decreased vision, retinal detachment, infection.
None
None
Wolfensberger, Thomas J., and Michel Gonvers. “Surgical Treatment of Retinal Detachment Owing to Macular Hole.” Seminars in Ophthalmology, vol. 15, no. 2, 2000, pp. 122–127.
Review Pars Plana Vitrectomy for Macular Hole.