RESOLUTION OF A MACULAR HOLE COMPLICATING A PSEUDOPHAKIC MACULAR EDEMA WITH NONSURGICAL TREATMENT

Retin Cases Brief Rep. 2018;12(2):131-135. doi: 10.1097/ICB.0000000000000446.

Abstract

Background: Pseudophakic cystoid macular edema (PCME) is a common complication of cataract surgery. We report the management of a case presenting with PCME in his left eye complicated by a full-thickness macular hole (MH). Four weeks after a cataract surgery on his left eye, a 75-year-old man presented with a vision loss on the same eye (best-corrected visual acuity: 20/64). A PCME complicated by a full-thickness MH was diagnosed. After oral acetazolamide treatment, the PCME completely regressed and the full-thickness MH closed after medical treatment.

Conclusion: Macular edema may rarely lead to MHs, by inducing mechanical changes and probable inflammatory mechanisms as well as a thinning of the fovea. We report a case of spontaneous closure of MH complicating a PCME, with medical treatment.

Publication types

  • Case Reports

MeSH terms

  • Acetazolamide / administration & dosage*
  • Administration, Oral
  • Aged
  • Conservative Treatment / methods*
  • Diuretics / administration & dosage
  • Dose-Response Relationship, Drug
  • Fluorescein Angiography
  • Follow-Up Studies
  • Fundus Oculi
  • Humans
  • Macular Edema / complications*
  • Macular Edema / diagnosis
  • Macular Edema / therapy
  • Male
  • Pseudophakia / complications*
  • Pseudophakia / physiopathology
  • Recovery of Function*
  • Retinal Perforations / diagnosis
  • Retinal Perforations / etiology
  • Retinal Perforations / therapy*
  • Tomography, Optical Coherence
  • Visual Acuity*

Substances

  • Diuretics
  • Acetazolamide