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Case Reports
. 2017 Apr-Jun;24(2):113-115.
doi: 10.4103/meajo.MEAJO_97_17.

A Case of Unilateral Retinitis Pigmentosa Associated with Full Thickness Macular Hole

Lama Enani  1 , Igor Kozak  2 , Ehab Abdelkader  1
Affiliations
Case Reports

A Case of Unilateral Retinitis Pigmentosa Associated with Full Thickness Macular Hole

Lama Enani et al. Middle East Afr J Ophthalmol. 2017 Apr-Jun.

Abstract

A 44-year-old Saudi female presented with poor right eye vision for 3 years. Visual acuity (VA) was 20/400 in the right eye and 20/20 in the left eye. Examination and imaging showed all the typical features of retinitis pigmentosa in the right eye associated with full thickness macular hole (FTMH) and an essentially normal left eye. The case underwent pars plana vitrectomy with internal limiting membrane peeling and gas tamponade that resulted in anatomical closure of the FTMH, but VA remained the same.

Keywords: Electroretinogram; fundus autofluorescence; macular hole; unilateral retinitis pigmentosa; vitrectomy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Baseline assessment of both eyes in a case of unilateral retinitis pigmentosa. (a) Color photograph of the right eye showing midperipheral intraretinal pigment migration, pale disc, and blood vessels attenuation. (b) Color photograph of the left eye with normal fundus appearance. (c) Fundus autofluorescence of the right eye showing decreased autofluorescence signal in the midperiphery associated with an abnormal parafoveal ring. (d) Autofluorescence of the left eye showing normal appearance. (e) Optical coherence tomography of the right eye showing full thickness macular hole with intraretinal fluid around it. (f) Optical coherence tomography of the left eye with normal foveal contour. (g) Photopic response of the full-field electroretinogram. It shows very diminished responses from the right eye and normal responses from the left eye. (h) Scotopic response full-field electroretinogram. It shows flat recordings from the right eye and normal responses from the left eye
Figure 2
Figure 2
Postoperative imaging of the right (affected) eye. (a) Color fundus photograph of the right eye showing the typical retinitis pigmentosa features. (b) Fundus autofluorescence of the right eye showing decreased autofluorescence signal in the midperiphery associated with an abnormal parafoveal ring. (c) Optical coherence tomography of the right eye showing closed hole with atrophic changes
See this image and copyright information in PMC

References

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