Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report
Introduction: Post-vitrectomy cystoid macular edema (CME) can lead to failure of macular hole (MH) closure. We report 2 cases of failure of MH closure due to post-vitrectomy CME, which were successfully treated using sub-Tenon triamcinolone acetonide (STTA) injection. Case Presentations: Case 1 invo...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2024-04-01
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| Series: | Case Reports in Ophthalmology |
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| Online Access: | https://beta.karger.com/Article/FullText/538026 |
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| author | Aiko Haraguchi Makiko Wakuta Nobuaki Ariyoshi Masahiko Funatsu Yuki Wasai Manami Ohta Tadahiko Ogata Fumiaki Higashijima Kazuhiro Kimura |
| author_facet | Aiko Haraguchi Makiko Wakuta Nobuaki Ariyoshi Masahiko Funatsu Yuki Wasai Manami Ohta Tadahiko Ogata Fumiaki Higashijima Kazuhiro Kimura |
| author_sort | Aiko Haraguchi |
| collection | DOAJ |
| description | Introduction: Post-vitrectomy cystoid macular edema (CME) can lead to failure of macular hole (MH) closure. We report 2 cases of failure of MH closure due to post-vitrectomy CME, which were successfully treated using sub-Tenon triamcinolone acetonide (STTA) injection. Case Presentations: Case 1 involved a 72-year-old male patient with a Gass Stage 3 MH in the right eye. He underwent pars plana vitrectomy (PPV), internal limiting membrane translocation, and sulfur hexafluoride (SF6) gas injection with cataract surgery in his right eye. The MH did not close postoperatively; further, CME developed at the edge of the MH. Accordingly, the patient underwent an STTA injection. Approximately 2 weeks after the STTA injection, the CME disappeared and the MH closed, which has remained closed 1 year after PPV. Case 2 involved a 78-year-old female patient with Gass Stage 3 MH in the left eye. The patient underwent the same surgical procedure as that performed in case 1. Further, she presented with failure of MH closure caused by CME; therefore, an STTA injection was performed. Approximately 6 weeks after STTA injection, the CME disappeared and the MH closed; further, there was maintained improvement of best-corrected visual acuity for 6 months. Conclusions: STTA injection could be considered before reoperation in cases involving failure of MH closure due to postoperative CME. |
| first_indexed | 2024-04-24T07:54:35Z |
| format | Article |
| id | doaj.art-96a0eb95c907492ca5915af11de1e675 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-04-24T07:54:35Z |
| publishDate | 2024-04-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-96a0eb95c907492ca5915af11de1e6752024-04-18T07:17:48ZengKarger PublishersCase Reports in Ophthalmology1663-26992024-04-0115132633410.1159/000538026538026Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case ReportAiko Haraguchi0Makiko Wakuta1Nobuaki Ariyoshi2Masahiko Funatsu3Yuki Wasai4Manami Ohta5Tadahiko Ogata6Fumiaki Higashijima7Kazuhiro Kimura8Department of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, JapanIntroduction: Post-vitrectomy cystoid macular edema (CME) can lead to failure of macular hole (MH) closure. We report 2 cases of failure of MH closure due to post-vitrectomy CME, which were successfully treated using sub-Tenon triamcinolone acetonide (STTA) injection. Case Presentations: Case 1 involved a 72-year-old male patient with a Gass Stage 3 MH in the right eye. He underwent pars plana vitrectomy (PPV), internal limiting membrane translocation, and sulfur hexafluoride (SF6) gas injection with cataract surgery in his right eye. The MH did not close postoperatively; further, CME developed at the edge of the MH. Accordingly, the patient underwent an STTA injection. Approximately 2 weeks after the STTA injection, the CME disappeared and the MH closed, which has remained closed 1 year after PPV. Case 2 involved a 78-year-old female patient with Gass Stage 3 MH in the left eye. The patient underwent the same surgical procedure as that performed in case 1. Further, she presented with failure of MH closure caused by CME; therefore, an STTA injection was performed. Approximately 6 weeks after STTA injection, the CME disappeared and the MH closed; further, there was maintained improvement of best-corrected visual acuity for 6 months. Conclusions: STTA injection could be considered before reoperation in cases involving failure of MH closure due to postoperative CME.https://beta.karger.com/Article/FullText/538026macular holecystoid macular edemasub-tenon triamcinolone acetonidepars plana vitrectomyinverted internal limiting membrane flap |
| spellingShingle | Aiko Haraguchi Makiko Wakuta Nobuaki Ariyoshi Masahiko Funatsu Yuki Wasai Manami Ohta Tadahiko Ogata Fumiaki Higashijima Kazuhiro Kimura Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report Case Reports in Ophthalmology macular hole cystoid macular edema sub-tenon triamcinolone acetonide pars plana vitrectomy inverted internal limiting membrane flap |
| title | Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report |
| title_full | Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report |
| title_fullStr | Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report |
| title_full_unstemmed | Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report |
| title_short | Treatment of Failure of Macular Hole Closure due to Post-Vitrectomy Macular Edema Using Sub-Tenon Triamcinolone Acetonide Injection: A Case Report |
| title_sort | treatment of failure of macular hole closure due to post vitrectomy macular edema using sub tenon triamcinolone acetonide injection a case report |
| topic | macular hole cystoid macular edema sub-tenon triamcinolone acetonide pars plana vitrectomy inverted internal limiting membrane flap |
| url | https://beta.karger.com/Article/FullText/538026 |
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