Ying HF, Wu SQ, Hu WP, Ni LY, Zhang ZL, Xu YG. Vitrectomy with residual internal limiting membrane covering and autologous blood for a secondary macular hole: A case report. World J Clin Cases 2022; 10(2): 671-676 [PMID: 35097093 DOI: 10.12998/wjcc.v10.i2.671]
Corresponding Author of This Article
Yong-Gen Xu, MD, Chief Doctor, Department of Ophthalmology, Affiliated Hospital of Shaoxing University, No. 999 Zhongxing South Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. xuyonggensx@163.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Huang-Fang Ying, Wei-Ping Hu, Li-Yang Ni, Zi-Long Zhang, Yong-Gen Xu, Department of Ophthalmology, Affiliated Hospital of Shaoxing University, Shaoxing 312000, Zhejiang Province, China
Shuang-Qing Wu, Department of Ophthalmology, Zhejiang Provincial Integrated Chinese and Western Medicine Hospital, Hangzhou 310003, Zhejiang Province, China
Author contributions: Ying HF wrote the original draft, contributed to manuscript editing; Wu SQ contributed to manuscript review and editing; Hu WP contributed to collecting data; Ni LY contributed to collecting data; Zhang ZL contributed to collecting data; Xu YG was the patient’s surgeon, contributed to manuscript review.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article are reported.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) licence, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-Gen Xu, MD, Chief Doctor, Department of Ophthalmology, Affiliated Hospital of Shaoxing University, No. 999 Zhongxing South Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. xuyonggensx@163.com
Received: May 17, 2021 Peer-review started: 23 June 2021 First decision: 16 July 2021 Revised: June 15, 2021 Accepted: December 8, 2021 Article in press: December 8, 2021 Published online: January 14, 2022 Processing time: 202 Days and 9 Hours
Abstract
BACKGROUND
Myopic foveoschisis (MF) is a common complication of pathological myopia. A macular hole (MH) usually results from the natural progression of MF and is a common complication of vitrectomy. Vitrectomy combined with residual internal limiting membrane (ILM) covering and autologous blood was effective for closing a secondary MH.
CASE SUMMARY
A 52-year-old woman presented to our clinic with a complaint of blurred vision in the right eye for 7 years. Her best corrected visual acuity (BCVA) was 20/100, axial length was 25.79 mm and standard equivalent refractive error was -10.5 dioptres. Preoperative optical coherence tomography revealed foveoschisis in the right eye. Vitrectomy with fovea-sparing ILM peeling was performed. An MH developed and gradually expanded 5 mo after the initial vitrectomy. Vitrectomy with residual ILM covering and autologous blood was performed. The MH closed 3 wk after the second vitrectomy.
CONCLUSION
Fovea-sparing ILM peeling can provide residual ILM for the treatment of MH secondary to vitrectomy for MF. Vitrectomy combined with residual ILM covering and autologous blood is effective for closing secondary MH and improving BCVA.
Core Tip: A macular hole (MH) is a common complication after vitrectomy for myopic foveoschisis (MF). This report describes a case of an MH secondary to vitrectomy with fovea-sparing internal limiting membrane (ILM) peeling for MF. We found that the repair process of MF may be centripetal, gradually moving from the peripheral retina to the macula. Second vitrectomy with residual ILM covering and autologous blood is effective for closing secondary MH and improving best corrected visual acuity.
