Retinal Detachment with Giant Retinal Tear and Macular Hole
Jan 6 2020 by MATTEO M FORLINI, MD
A 61-year-old-male patient presented with sudden diminution of vision in the right eye due to retinal detachment with giant retinal tear and macular hole. Best corrected visual acuity (BCVA) at presentation was 20/200. A 23 G vitrectomy was performed. The edges of the tear were unrolled and complete retinal re-attachment under PFCL was achieved. A 360 degree intraoperative endolaser was performed on the peripheral retina as well as around the edges of the tears. PFCL was exchanged with silicone oil 5000cs as final tamponade. At six-months follow-up retina was attached and macular hole was repaired. Best-corrected visual acuity is 20/125 at present.
Photographer: Matteo Forlini MD, San Marino Hospital, Republic of San Marino
Condition/keywords: full thickness macular hole, giant retinal tear, retinal detachment, silicone oil