A full thickness macular hole following severe preeclampsia: a case report Buraco macular de espessura total após pré-eclâmpsia severa
Arquivos Brasileiros de Oftalmologia, cilt.86, sa.6, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 86 Sayı: 6
- Basım Tarihi: 2023
- Doi Numarası: 10.5935/0004-2749.20230061
- Dergi Adı: Arquivos Brasileiros de Oftalmologia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, Veterinary Science Database
- Anahtar Kelimeler: optical coherence, Pre-eclampsia, Retinal perforations, Tomography, Vitrectomy, Vitreoretinal surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
We report a case of a young woman presenting with decreased vision in the right eye. One month earlier, she developed severe preeclampsia at 22 weeks of gestation and the pregnancy was terminated. Fundus examination revealed cotton wool spots and hard exudates in the macula bilaterally, with a yellow spot at the center of the fovea in the right eye. Optic coherence tomography showed a full thickness macular hole with elevated cystoid edges in the right eye. The patient was diagnosed with macular hole secondary to preeclampsia and followed up for spontaneous closure. One month after the first visit, surgical intervention was suggested due to declining vision. Three months later, the patient agreed to surgery. She underwent pars plana vitrectomy with a temporal inverted internal limiting membrane flap and C3F8 endotamponade, which provided anatomic and visual improvement.