Advances in ISSN: 2377-4290 AOVS

Ophthalmology & Visual System
Case Report
Volume 4 Issue 5 - 2016
Flexible Loop Scraper for Membrane Peeling in Macular Hole Repair During Total Traumatic Hemorrhagic Retinal Detachment Repair Following Perforating Open-Globe Injury
R Miller Watson1 and D Skondra2,3*
1University of Illinois at Chicago, Retina Service, USA
2J Stroger Cook County Hospital, Retina Service, USA
3Feinberg School of Medicine, Retina Service, USA
Received: August 05, 2016 | Published: August 09, 2016
*Corresponding author: Dimitra Skondra, Northwestern University, Retina Service, 1969 W. Ogden Avenue, Chicago, IL, 60612, USA, Email:
Citation: Watson RM, Skondra D (2016) Flexible Loop Scraper for Membrane Peeling in Macular Hole Repair During Total Traumatic Hemorrhagic Retinal Detachment Repair Following Perforating Open-Globe Injury. Adv Ophthalmol Vis Syst 4(5): 00124. DOI: 10.15406/aovs.2016.04.00124

Short Description

A 35 year-old male with history of open-globe repair from BB gun injury 3 weeks prior presented with light perception vision, vitreous hemorrhage and suspected retinal detachment. He underwent 23-gauge pars plana lensectomy, vitrectomy, membrane peeling, retinectomy, subretinal clots removal, endolaser and silicone oil tamponade (Video). Intraoperatively, a full thickness macular hole (MH), posterior strike site in temporal macula with overlying scar and hemorrhaghic retinal detachment was seen. A pigmented preretinal membrane was covering the posterior pole and peripheral retina. The membrane was very friable and wassuccessfully peeled with flexible loop membrane scraper from the macula and peripheral retina. Macula OCT 2  months laterconfirmedMH closure (Figure1). At 6 months, visual acuity was counting fingers, the retina was attached and the MH remained closed. Macular holes are found in just 0.15% of eyes with open-globe injury with reported a closure rate of 40% [1,2].

Figure Title: Post-operative macular OCT.

Figure 1: Macular spectral domain OCT taken 3 months postoperatively demonstrates completes closure of macular hole.



References

  1. Kuhn F, Morris R, Mester V, Witherspoon CD (2001) Internal Limiting Membrane Removal for Traumatic Macular Holes. Ophthalmic Surg Lasers 32(4): 308-315.
  2. Weichel ED, Colyer MD (2009) Traumatic macular holes secondary to combat ocular trauma. Retina 29(3): 349-354.
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