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Case Report Volume 4 Issue 5
Flexible loop scraper for membrane peeling in macular hole repair during total traumatic hemorrhagic retinal detachment repair following perforating open-globe injury
R Miller Watson,1 Dimitra Skondra2,3
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1University of Illinois at Chicago, Retina Service, USA
2J Stroger Cook County Hospital, Retina Service, USA
3Feinberg School of Medicine, Retina Service, USA
Correspondence: Dimitra Skondra, Northwestern University, Retina Service, 1969 W. Ogden Avenue, Chicago, IL, 60612, USA
Received: August 05, 2016 | Published: August 9, 2016
Citation: Watson RM, Skondra D. 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. 2016;4(5):133. DOI: 10.15406/aovs.2016.04.00124
Keywords
membrane peeling, retinectomy, subretinal clots removal
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 was successfully peeled with flexible loop membrane scraper from the macula and peripheral retina. Macula OCT 2 months later confirmed MH 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 1 Macular spectral domain OCT taken 3 months postoperatively demonstrates completes closure of macular hole.
Figure Title: Post-operative macular OCT.
Acknowledgment
None.
Conflicts of interest
The authors declare there are no conflicts of interest.
Funding
None.
References
©2016 Watson, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.