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Case Reports
. 2009:2009:617891.
doi: 10.1155/2009/617891. Epub 2010 Jan 13.

Visual field loss progression after macular hole surgery

Gian Marco Tosi  1 , Gianluca Martone, Angelo Balestrazzi, Alex Malandrini, Marco Alegente, Patrizia Pichierri
Affiliations
Case Reports

Visual field loss progression after macular hole surgery

Gian Marco Tosi et al. J Ophthalmol. 2009.

Abstract

Purpose. To report a patient who experienced visual field loss progression after vitrectomy for an idiopathic stage II macular hole. Methods. Case report. A 68-year-old woman, with no history of glaucoma or any neuroophthalmological diseases, underwent a vitrectomy for a macular hole. Results. The patient showed macular hole closure and a resulting central visual acuity of 20/20. However, two months after surgery, she developed an inferotemporal visual field defect. Moreover, seven months after surgery, the patient noticed an enlargement of the temporal blind area: a nearly complete temporal defect was confirmed on visual field testing. Conclusions. Although the beneficial results of successfully treated macular holes are unquestionable, this report raises the possibility that visual field defects following macular hole surgery may be progressive.

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Figures

Figure 1
Figure 1
Goldmann visual field test two months after surgery revealed an inferotemporal visual field defect in the left eye.
Figure 2
Figure 2
Goldmann visual field test seven months after surgery revealed a nearly complete temporal visual field defect in the left eye.
See this image and copyright information in PMC

References

    1. Melberg NS, Thomas MA. Visual field loss after pars plana vitrectomy with air/fluid exchange. American Journal of Ophthalmology. 1995;120(3):386–388. - PubMed
    1. Hirata A, Yonemura N, Hasumura T, Murata Y, Negi A. Effect of infusion air pressure on visual field defects after macular hole surgery. American Journal of Ophthalmology. 2000;130(5):611–616. - PubMed
    1. Gass CA, Haritoglou C, Messmer EM, Schaumberger M, Kampik A. Peripheral visual field defects after macular hole surgery: a complication with decreasing incidence. British Journal of Ophthalmology. 2001;85(5):549–551. - PMC - PubMed
    1. Kwan ASL. Nitrous oxide anaesthesia and intraocular gases. British Journal of Anaesthesia. 2005;95(5):719–721. - PubMed
    1. Yang SS, McDonald HR, Everett AI, Johnson RN, Jumper JM, Fu AD. Retinal damage caused by air-fluid exchange during pars plana vitrectomy. Retina. 2006;26(3):334–338. - PubMed

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