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  • Title: Persistent outer retinal defect after successful macular hole repair.
    Author: Moshfeghi AA, Flynn HW, Elner SG, Puliafito CA, Gass JD.
    Journal: Am J Ophthalmol; 2005 Jan; 139(1):183-4. PubMed ID: 15652846.
    Abstract:
    PURPOSE: To report two cases of a persistent outer retinal defect evident by optical coherence tomography (OCT) after clinically successful macular hole surgery. DESIGN: Retrospective case series. METHODS: A retrospective case series of two patients who had a persistent outer retinal defect by OCT and excellent visual acuity after clinically successful macular hole surgery. RESULTS: Two patients with stage 2 macular holes and preoperative visual acuity of 20/70 and 20/60, respectively, underwent macular hole surgery. Although the macular holes were closed on clinical evaluation, a persistent outer retinal defect was identified by OCT in both patients. At 5 to 6 months postoperatively, the outer retinal defect became less prominent and the visual acuity remained at 20/20 in both patients. CONCLUSIONS: An outer retinal defect by OCT may occur in the early postoperative period after macular hole surgery. Despite this defect, good visual acuity is possible.
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