Open retinotomy after submacular surgery

Am J Ophthalmol. 2000 Dec;130(6):838-9. doi: 10.1016/s0002-9394(00)00638-3.

Abstract

Purpose: To report persistent open retinotomy after submacular surgery in patients with presumed ocular histoplasmosis.

Methods: Retrospective review. Five eyes of 5 patients with submacular choroidal neovascularization associated with presumed ocular histoplasmosis had pars plana vitrectomy, detachment of the posterior hyaloid, and surgical removal of the neovascular complex using the small retinotomy technique. All eyes were followed postoperatively for a mean of 47 months (range, 36 to 73 months).

Results: In all 5 patients, the open retinotomy persisted after submacular surgery. No complications were associated with the presence of an open retinotomy.

Conclusion: Persistence of the retinotomy site may occur after submacular surgery. With follow-up of at least 36 months, no significant complication is associated with an open retinotomy site.

MeSH terms

  • Adult
  • Choroidal Neovascularization / microbiology
  • Choroidal Neovascularization / surgery
  • Eye Infections, Fungal / microbiology
  • Eye Infections, Fungal / surgery
  • Female
  • Histoplasmosis / microbiology
  • Histoplasmosis / surgery
  • Humans
  • Macula Lutea / pathology
  • Macula Lutea / surgery*
  • Male
  • Middle Aged
  • Retinal Diseases / etiology*
  • Retinal Diseases / pathology
  • Retrospective Studies
  • Vitrectomy / adverse effects*