DR. JOPHY PHILIPS

Dr. CHAITRA JAYADEV, Dr.Santosh Gopi Krishna Gadde, Dr.Naresh Kumar Yadav

Abstract

AIM: To describe factors leading to Full Thickness Macular Hole (FTMH) post Silicon Oil Removal (SOR) in macular Tractional Retinal Detachment (TRD)

METHODS: Retrospective analysis of Optical Coherence Tomography features and surgical aspects in a series of 3 cases.

RESULTS: Two patients developed FTMH 10 days after an initial lamellar macular hole formation and one patient 2 months post SOR. The latter case had persisting preretinal and intraretinal fibrosis after vitrectomy due to perioperative preretinal bleed.The former 2 patients had no preretinal membranes but had foveal traction pre-operatively with splitting of intraretinal layers.All 3 patients underwent inverted ILM peeling with SF6 injection for a successful closure of FTMH and a mean BCVA of 0.6 logMAR.

CONCLUSION: Morphological features of Macular TRD,intra-op complications and post-op secondary membranes dictate healing post TRD surgery.An understanding of traction features can help prognosticate impending complications.